JP2014519511A - Polypeptide - Google Patents

Abstract

  The present invention relates to polypeptides comprising amino acid sequences that are analogs of pramlintide, pharmaceutical compositions comprising such polypeptides, and such polypeptides for use as pharmaceuticals.

Description

  The present invention relates to polypeptides comprising an amino acid sequence that is an analog of SEQ ID NO: 2 (pramlintide), pharmaceutical compositions comprising such polypeptides, and such polypeptides for use as medicaments.

  The number of people with diabetes mellitus and obesity is large and growing. Diabetes mellitus is a metabolic disorder in which the availability of glucose is partially or completely impaired.

  Some treatment plans target excessive blood sugar, while other treatment plans focus primarily on weight loss. The most efficient anti-diabetic drugs used to lower blood sugar are insulin and its analogs. It has long been known that when traditional insulin is used to treat diabetes, it is associated with weight gain. Insulin needs to be injected subcutaneously at most several times a day.

  Type 2 diabetes is generally treated initially by diet and exercise. As the condition progresses, various oral antidiabetic drugs are added. Drugs by injection, such as GLP-1 analogs, may also be used at this stage. In general, such agents are most efficient in patients with functioning beta cells capable of releasing insulin and amylin.

  Human amylin (SEQ ID NO: 1) is a 37 amino acid long polypeptide with physicochemical properties that complicate its use as a drug. Specifically, human amylin has a tendency to fibrillate, ie form fibrils, in vitro and / or ex vivo and become ineffective to precipitate. In addition, amylin is difficult to formulate because it is chemically unstable and precipitates at physiological pH. Therefore, amylin is formulated in an acidic solution.

  Human amylin binds to two distinct receptor complexes. In addition to the calcitonin receptor, these two complexes contain the receptor activity regulating protein RAMP1 or RAMP3. Because of the close relationship between calcitonin receptor and amylin receptor, amylin receptor agonists can be expected to have some cross-reactivity to the calcitonin receptor. As an example, pramlintide has some affinity for the calcitonin receptor and is 14 times more potent at the amylin receptor.

  Calcitonin receptors are found in many tissues throughout the body and are thought to be involved in the regulation of bone metabolism. Salmon calcitonin is currently sold under the trade name Miacalcic®. This product is used for hypercalcemia, osteoporosis (including postmenopausal osteoporosis and glucocorticoid related osteoporosis), osteoarthritis (Paget's disease), once daily by injection or trans Administered nasally. Calcitonin binds to specific receptors in the skeleton, kidney, and central nervous system (CNS) membranes. The plasma half-life of salmon calcitonin is about 45 minutes.

  Polypeptides having activity at the calcitonin receptor could be useful in the treatment of hypercalcemia, osteoporosis, Paget's disease, obesity or obesity related diseases, and in the prevention of obesity related diseases. A disadvantage of treatment with currently used calcitonin formulations is that the plasma half-life of salmon calcitonin requires that the drug be administered several times a day and immediately before meals.

  A polypeptide having dual activity at both the calcitonin receptor and the amylin receptor may be advantageous.

  Pramlintide (SEQ ID NO: 2) is a drug product marketed by Amylin Pharmaceuticals as Symlin® for the treatment of diabetes as an additional drug to insulin. Pramlintide is an amylin receptor agonist. The activity at the calcitonin receptor is about 14 times lower.

  The chemical structure of Pramlintide is shown below and also in FIG.

  Plumlintide is chemically unstable at neutral pH and is therefore provided in an acidic solution. In contrast to human amylin, amino acids at positions 25, 28, and 29 of pramlintide are replaced with proline. This modification reduces the tendency of the protein to develop fibrils. Pramlintide has a very short plasma half-life and therefore must be injected 2-3 times daily.

  WO 2010046357 and WO 2009034119 disclose polypeptides comprising amylin analogs having an albumin binding residue (referred to in that regard as amylin derivatives). Such polypeptides with an albumin-binding moiety exhibit improved pharmacokinetic (PK) or pharmacodynamic (PD) properties compared to pramlintide, but still exhibit low physical stability under certain conditions There is.

International Publication No. 2010046357 International Publication No. 2009034119

Niall et al. (1969), Biochemistry Vol. 64, Fig. 2. Needleman, S.B. and Wunsch, C.D., (1970), Journal of Molecular Biology, 48: 443-453. Myers and W. Miller, “Optimal Alignments in Linear Space”, CABIOS (computer applications in the biosciences) (1988) 4: 11-17 Kurtzhals et al., Biochem. J., 312, 725-731 (1995) Stability of Protein Pharmaceuticals, Ahern. T.J. & Manning M.C., Plenum Press, New York 1992 Greene and Wuts, "Protective Groups in Organic Synthesis", John Wiley & Sons, 1999 Remington's Pharmaceutical Sciences, 1985 Remington: The Science and Practice of Pharmacy, 19th edition, 1995 Williams and Polli (1984) J. Parenteral Sci. Technol. 38: 48-59 Masters (1991), Spray-Drying Handbook (5th edition, Longman Scientific and Technical, UK, Essez), 491-676 Broadhead et al. (1992) Drug Devel. Ind. Pharm. 18: 1169-1206 Mumenthaler et al. (1994) Pharm. Res. 11: 12-20 Carpenter and Crowe (1988) Cryobiology 25: 459-470 Roser (1991) Biopharm. 4: 47-53 Yu J, Chien YW. Pulmonary drug delivery: Physiologic and mechanistic aspects. Crit Rev Ther Drug Carr Sys 14 (4) (1997) 395-453 Naiki et al. (1989) Anal. Biochem. 177, 244-249 LeVine (1999) Methods. Enzymol. 09, 274-284 Nielsen et al. (2001) Biochemistry 40, 6036-6046

  Surprisingly, it has been found that a polypeptide comprising an amino acid sequence that is an analog of SEQ ID NO: 2 (pramlintide), which contains the amino acid residue at position 37, which is proline, may exhibit improved solubility and / or physical stability. It was issued.

  In at least some embodiments, the polypeptides of the invention have improved solubility.

  In at least some embodiments, the polypeptides of the invention have improved physical stability.

  In at least some embodiments, the polypeptides of the invention have improved solubility and physical stability.

  In at least some embodiments, the polypeptides of the invention exhibit an advantageous pharmacokinetic profile and / or an advantageous pharmacological profile. An example of an advantageous pharmacokinetic profile is a long acting profile.

In one broad aspect, the invention includes an amino acid sequence that is an analog of SEQ ID NO: 2, wherein the analog includes a proline residue at position 37, and the numbering of the amino acid sequence of the analog is SEQ ID NO: Polypeptides corresponding to the amino acid numbering sequence of 2. In some cases, the polypeptide has an EC ₅₀ in a human amylin receptor potency assay, such as those disclosed herein, of about 1800 pM or less. In some cases, the polypeptide has an EC ₅₀ in a human calcitonin receptor potency assay, such as those disclosed herein, of about 1800 pM or less. In some cases, the polypeptide has a solubility of about 100 μM or more at pH 4 in a solubility assay, such as those disclosed herein. In some cases, the polypeptide has a solubility of about 100 μM or more at pH 7 in a solubility assay such as those disclosed herein. In some cases, the polypeptide has a physical stability of about 25 hours or more in a fibrillogenesis assay (also referred to as a fibril formation assay) such as those disclosed herein. In some cases, a polypeptide has at least one substituent attached to at least one of its amino acid residues. The invention also relates to pharmaceutical formulations containing it. The invention also relates to its use as a medicament. The invention also relates to its delivery (such as administration) to a patient in need of such treatment.

In another broad aspect, the invention includes an amino acid sequence that is an analog of SEQ ID NO: 2, wherein the analog comprises a proline residue at position 37 and a glutamic acid residue at position 14, and the amino acid sequence of the analog Is related to the polypeptide corresponding to the amino acid numbering sequence of SEQ ID NO: 2. In some cases, the polypeptide has an EC ₅₀ in a human amylin receptor potency assay (such as those disclosed herein) of about 1800 pM or less. In some cases, the polypeptide has an EC ₅₀ in a human calcitonin receptor potency assay, such as those disclosed herein, of about 1800 pM or less. In some cases, the polypeptide has a solubility of about 100 μM or more at pH 4 in a solubility assay, such as those disclosed herein. In some cases, the polypeptide has a solubility of about 100 μM or more at pH 7 in a solubility assay such as those disclosed herein. In some cases, the polypeptide has a physical stability of about 25 hours or more in a fibrillogenesis assay (also referred to as a fibril formation assay) such as those disclosed herein. In some cases, a polypeptide has at least one substituent attached to at least one of its amino acid residues. The invention also relates to pharmaceutical formulations containing it. The invention also relates to its use as a medicament. The invention also relates to its delivery (such as administration) to a patient in need of such treatment.

In another broad aspect, the invention includes an amino acid sequence that is an analog of SEQ ID NO: 2, said analog comprising a proline residue at position 37, a histidine or arginine residue at position 17, and a glutamic acid at position 14. The numbering of the amino acid sequence of the analog, including residues, relates to the polypeptide corresponding to the amino acid numbering sequence of SEQ ID NO: 2. In some cases, the polypeptide has an EC ₅₀ in a human amylin receptor potency assay (such as those disclosed herein) of about 1800 pM or less. In some cases, the polypeptide has an EC ₅₀ in a human calcitonin receptor potency assay, such as those disclosed herein, of about 1800 pM or less. In some cases, the polypeptide has a solubility of about 100 μM or more at pH 4 in a solubility assay, such as those disclosed herein. In some cases, the polypeptide has a solubility of about 100 μM or more at pH 7 in a solubility assay such as those disclosed herein. In some cases, the polypeptide has a physical stability of about 25 hours or more in a fibrillogenesis assay (also referred to as a fibril formation assay) such as those disclosed herein. In some cases, a polypeptide has at least one substituent attached to at least one of its amino acid residues. The invention also relates to pharmaceutical formulations containing it. The invention also relates to its use as a medicament. The invention also relates to its delivery (such as administration) to a patient in need of such treatment.

In another broad aspect, the present invention provides a compound of formula (I):
Xaa ₁ -Cys-Xaa ₃ -Thr-Ala-Thr-Cys-Ala-Thr-Gln-Arg-Leu-Ala-Xaa ₁₄ -Phe-Leu-Xaa ₁₇ -Xaa ₁₈ -Ser-Ser-Xaa ₂₁ -Xaa ₂₂ -Phe-Gly-Pro-Xaa ₂₆ -Leu-Pro-Pro-Thr-Xaa ₃₁ -Val-Gly-Ser-Xaa ₃₅ -Thr-Pro,
Formula (I) (SEQ ID NO: 3)
A polypeptide comprising an amino acid sequence that is an analogue of SEQ ID NO:
Xaa ₁ is deleted or individually selected from Ala, Cys, Glu, Gly, His, Arg, Ser, and Lys,
Xaa ₃ is individually selected from Gly, His, Arg, Ser, and Asn,
Xaa ₁₄ is individually selected from Glu and Asn,
Xaa ₁₇ is individually selected from His, Arg, Lys, and Val,
Xaa ₁₈ is individually selected from Arg, Lys, and His,
Xaa ₂₁ is individually selected from Ala, Lys, Gln, Ser, and Asn,
Xaa ₂₂ is individually selected from Glu, Gln, Ser, Thr, and Asn,
Xaa ₂₆ is individually selected from Pro, Arg, and Ile,
Xaa ₃₁ is individually selected from Ser, Glu, Asp, and Asn,
Xaa ₃₅ is individually selected from His, Arg, Lys, Asp, Gln, and Glu,
The C-terminus may optionally be derivatized,
In some cases, the polypeptide has an EC ₅₀ in a human amylin receptor potency assay, such as those disclosed herein, of about 1800 pM or less,
In some cases, the polypeptide has an EC ₅₀ in a human calcitonin receptor potency assay, such as those disclosed herein, of about 1800 pM or less,
In some cases, the polypeptide has a solubility at pH 4 of about 100 μM or more in a solubility assay such as those disclosed herein,
In some cases, the polypeptide has a solubility at pH 7 of about 100 μM or greater in a solubility assay such as those disclosed herein,
In some cases, the polypeptide has a physical stability of about 25 hours or more in a fibrillogenesis assay (also referred to as a fibril formation assay) such as those disclosed herein;
Optionally, the polypeptide relates to a polypeptide having at least one substituent attached to at least one of its amino acid residues.

  The invention also relates to pharmaceutical formulations containing it. The invention also relates to its use as a medicament. The invention also relates to its delivery (such as administration) to a patient in need of such treatment.

  In another aspect, the invention further comprises a pharmaceutical composition comprising the polypeptide.

  In another aspect, the invention further comprises a method of preparing a pharmaceutical composition comprising the polypeptide.

  In another aspect, the invention further comprises the above polypeptide for use as a medicament.

  The polypeptides of the present invention are advantageous because they have improved solubility and / or physical stability.

  Appropriate assays used to determine potency at the amylin and calcitonin receptors and to determine polypeptide solubility and physical stability are described herein. See, for example, assays (II), (IV), and (III), respectively.

It is a figure which shows a structure. It is a figure which shows a structure. It is a figure which shows a structure. It is a figure which shows a structure.

Definitions The term “human amylin” as used herein relates to the polypeptide human amylin having the sequence as shown in SEQ ID NO: 1. The term includes, but is not limited to, a 37 amino acid human polypeptide hormone called amylin, which is actually secreted simultaneously with insulin from pancreatic beta cells. Human amylin has the following primary amino acid sequence.
Lys-Cys-Asn-Thr-Ala-Thr-Cys-Ala-Thr-Gln-Arg-Leu-Ala-Asn-Phe-Leu-Val-His-Ser-Ser-Asn-Asn-Phe-Gly-Ala- Ile-Leu-Ser-Ser-Thr-Asn-Val-Gly-Ser-Asn-Thr-Tyr (SEQ ID NO: 1)

  Human amylin has a disulfide bridge between two Cys residues and the C-terminal amide group. This structure is shown below and also in FIG.

  In this specification, SEQ ID NO: 1 and human amylin may be used interchangeably.

The term “pramlintide” as used herein relates to a synthetic polypeptide having the sequence as shown in SEQ ID NO: 2. Plumlintide has the following primary amino acid sequence:
Lys-Cys-Asn-Thr-Ala-Thr-Cys-Ala-Thr-Gln-Arg-Leu-Ala-Asn-Phe-Leu-Val-His-Ser-Ser-Asn-Asn-Phe-Gly-Pro- Ile-Leu-Pro-Pro-Thr-Asn-Val-Gly-Ser-Asn-Thr-Tyr (SEQ ID NO: 2)

  Plumlintide has a disulfide bridge between two Cys residues and the C-terminal amide group. This structure is shown below and also in FIG.

  In this specification, SEQ ID NO: 2 and pramlintide may be used interchangeably.

  The term “calcitonin” means salmon calcitonin or human calcitonin.

  The term “salmon calcitonin” or “sCT” refers to the native protein sequence of salmon calcitonin as disclosed in Niall et al. (1969), Biochemistry Vol. 64, FIG. Salmon calcitonin is a polypeptide consisting of 32 amino acids. Salmon calcitonin has a disulfide bridge that is essential for its biological activity between the first and seventh amino acids on the amino terminal side of the polypeptide chain and a prolinamide group at the carboxyl terminal amino acid.

  The term “human calcitonin” refers to the native protein sequence of human calcitonin as disclosed in Niall et al. (1969), Biochemistry Vol. 64, FIG. Human calcitonin is a polypeptide consisting of 32 amino acids. Human calcitonin has a disulfide bridge that is essential for its biological activity between the first and seventh amino acids on the amino terminal side of the polypeptide chain and a proline amide group at the carboxyl terminal amino acid.

  The term “analogue of amylin” or “amylin analog” as used herein refers to a variant of SEQ ID NO: 1.

  The term “analogue of pramlintide” or “pramlintide analog” as used herein refers to a variant of SEQ ID NO: 2.

  For example, the variants include, but are not limited to, any one or more substitutions and / or one or more of any amino acid residues for any natural or unnatural amino acid, synthetic amino acid, or peptidomimetic Deletion and / or addition of one or more, and / or attachment of a substituent at any available position to any one of a natural or non-natural amino acid, a synthetic amino acid, or a peptidomimetic It is done.

  The variant may have the same number (ie 37) amino acid residues as pramlintide. Alternatively, the variant may contain fewer amino acid residues than pramlintide. Alternatively, the variant may contain more amino acid residues than pramlintide. In some embodiments, the variant has the same number (ie 37) of amino acid residues as pramlintide. In some embodiments, the variant is a substitution of any one of the amino acid residues for any natural or non-natural amino acid, synthetic amino acid, or peptidomimetic, and / or a natural or non-natural amino acid, synthetic amino acid Or binding at any available position to any one of the peptidomimetics.

  A polypeptide may comprise one or more amino acid substitutions. Thus, for some embodiments, the number of amino acid substitutions in the amylin analog may be at least one. Preferably, the number of amino acid substitutions is between 1-15, more preferably between 1-12, more preferably between 1-10, more preferably between 1-5, more preferably between 1-3. It is.

  The number of amino acid insertions, additions, deletions or substitutions may be at least one, but up to 2, 3, 4, 5, 6, 7, 8, 9, or 10 amino acid insertions, additions, deletions, or There may be substitutions. Substitutions or additions may be with natural or unnatural amino acids, synthetic amino acids, peptidomimetics, or other chemical compounds. Addition or deletion of amino acid residues may occur at the N-terminus of the peptide and / or at the C-terminus of the peptide.

  As used herein, the term `` natural amino acid '' includes glycine (Gly and G), proline (PRo and P), alanine (Ala and A), valine (Val and V), leucine (Leu and L), Isoleucine (Ile and I), methionine (Met and M), cysteine (Cys and C), phenylalanine (Phe and F), tyrosine (Tyr and Y), tryptophan (Trp and W), histidine (His and H), lysine (Lys and K), arginine (Arg and R), glutamine (Gln and Q), asparagine (Asn and N), glutamic acid (Glu and E), aspartic acid (Asp and D), serine (Ser and S), and An amino acid selected from the group consisting of threonine (Thr and T) (with usual three-letter code and one-letter code in parentheses). If there is a deviation from a commonly used code due to a typo, the commonly used code is applied. The amino acid present in the polypeptide of the present invention is preferably an amino acid that can be encoded by a nucleic acid.

  If the analog contains more than 37 amino acid residues or fewer than 37 amino acid residues, one skilled in the art will still align the sequence with the sequence of pramlintide (SEQ ID NO: 2) Can be obtained. A suitable alignment program is Needleman-Wunsch's alignment, “Needle”. The algorithm of this alignment program is described in Needleman, S.B. and Wunsch, C.D., (1970), Journal of Molecular Biology, 48: 443-453.

  In the sequence numbering of SEQ ID NO: 2, in accordance with established conventions in the art, the number 1 is assigned to the N-terminal amino acid residue (Lys), the subsequent amino acid residues are numbered consecutively and at the C-terminus Assign 37 to tyrosine and finish. Thus, in general, any reference herein to an amino acid residue position number indicates its position in a 37 amino acid sequence that is an analog of pramlintide. For example, reference to an analog modified at position 14 can refer to an analog in which the amino acid at position 14 of 37 amino acids in the analog is modified.

  In other words, the numbering of the amino acid sequences of the analogs indicates the position of each analog for the 37 amino acid sequence, the numbering is sequential and in ascending order from the N-terminus to the C-terminus.

  Analogs can be described by reference to the number of amino acid residues in modified pramlintide or human amylin, ie its position, and the type of modification. The following are non-limiting examples of suitable analog nomenclature.

For example,
[Pro37] -Pramlintide represents an analog of SEQ ID NO: 2 (Pramlintide) in which the change from Pramlintide is a substitution of Tyr at position 37 with Pro.

  [Glu14, Arg17, Pro37] -pramlintide has Asn at position 14 substituted with Glu, Val at position 17 substituted with Arg, and Tyr at position 37 substituted with Pro, SEQ ID NO: 2 Analogs of (pramlintide) are shown.

As yet another example, des1 (or Des ¹ ) with respect to an analog of pramlintide refers to an analog that lacks the N-terminal amino acid lysine. Analogs of pramlintide lacking the N-terminal amino acid can also be referred to as des1 pramlintide.

  [Pro25, Pro28, Pro29] -human amylin is similar to SEQ ID NO: 1 (human amylin), in which the modification from human amylin is such that Ala at position 25 and Cys at positions 28 and 29 are all replaced with Pro Showing the body. This polypeptide is pramlintide. Thus, pramlintide is understood to be an analog of human amylin. That is, “analogue of pramlintide” and “analogue of amylin” can be used without distinction.

  As is apparent from the above example, an amino acid residue can be identified by its full name, its one letter code, and / or its three letter code. These three methods are completely equivalent.

  The expressions “match”, “corresponding”, “equivalent position”, or “corresponding position” as used herein refer to the site of modification in an analogue of pramlintide, SEQ ID NO: 2. Can be used to characterize. Equivalent or corresponding positions are easily derived, for example, simply by handwriting and gaze, and / or using a standard protein or polypeptide alignment program such as Needleman-Wunsch alignment "Needle" You can also The algorithm is described in Needleman, SB and Wunsch, CD, (1970), Journal of Molecular Biology, 48: 443-453, and the alignment program is Myers and W. Miller, “Optimal Alignments in Linear Space”. CABIOS (computer applications in the biosciences) (1988) 4: 11-17. For alignment, you can use the default scoring matrix BLOSUM62 and the default identity matrix, with a penalty of -10 for the first residue that becomes a gap and a penalty for additional residues that become a gap- Can be set to 0.5.

  A polypeptide may include one or more substituents on one or more of the amino acid residues. Such polypeptides can also be referred to as pramlintide derivatives or amylin derivatives.

  As used herein, the term “substituent” refers to an amino acid residue, in particular any suitable site covalently bonded, particularly covalently attached, to any available position on an amino acid residue. means. Usually the appropriate moiety is a chemical moiety.

  For some embodiments, the substituent includes a linker.

  For some embodiments, the polypeptide has a substituent on one amino acid residue, the amino acid residue is an amino acid residue at the N-terminal residue, or the amino acid residue is lysine It is.

  For some embodiments, the polypeptide has a substituent on the N-terminal amino acid residue attached through the α (alpha) -amino group of the N-terminal amino acid residue.

  For some embodiments, the N-terminal amino acid residue is lysine and the polypeptide has a substituent on the N-terminal amino acid residue attached via the ε (epsilon) -amino group of the lysine amino residue. .

  For some embodiments, the polypeptide is extended by the addition of a lysine residue at the N-terminus, and the polypeptide is a substitution on the N-terminal amino acid residue attached through the ε-amino group of the lysine amino residue. Has a group.

  For some embodiments, the polypeptide is extended by the addition of an amino acid residue at the N-terminus, and the polypeptide is on the N-terminal amino acid residue attached via the α-amino group of the N-terminal amino acid residue. It has the substituent of.

  As used herein, the term “hydrocarbyl” refers to a group that may optionally include one or more other suitable substituents, including at least carbon and hydrogen. Examples of such substituents can include hydroxy, alkyl, halo, alkoxy, haloalkyl, haloalkoxy, amino, aminoalkyl, or cyclic groups. In addition to the possibility that the substituent is a cyclic group, a combination of substituents may form a cyclic group. If the hydrocarbyl group contains more than one carbon atom, these carbon atoms need not necessarily be linked to each other. For example, at least two of the carbon atoms may be linked via a suitable atom or group. Accordingly, the hydrocarbyl group may contain a heteroatom. Suitable heteroatoms will be apparent to those skilled in the art and include, for example, sulfur, nitrogen, oxygen, phosphorus, and silicon. In one embodiment, the hydrocarbyl group is selected from the group consisting of an alkyl group, an alkenyl group, an alkynyl group, an aryl group, a heteroaryl group, or a cycloalkyl group, each of which is optionally substituted. Examples of such substituents can include hydroxy, alkyl, halo, alkoxy, haloalkyl, haloalkoxy, amino, aminoalkyl, or cycloalkyl groups.

As used herein, the term “alkyl” includes both straight and branched saturated alkyl groups, which may be (mono or multi) substituted or unsubstituted. Preferably, the alkyl group is a C _1-20 alkyl group, more preferably a C _1-15 , more preferably a C _1-10 alkyl group, more preferably a C _1-8 alkyl group, more preferably a C _1-6 alkyl. It is a group. Particularly preferred alkyl groups include, for example, methyl, ethyl, n-propyl, iso-propyl, n-butyl, sec-butyl, iso-butyl, tert-butyl, n-pentyl, n-hexyl, n-heptyl, and n -Octyl. Suitable substituents include, for example, hydroxy, alkyl, halo, alkoxy, haloalkyl, haloalkoxy, amino, aminoalkyl, or cycloalkyl groups.

  As used herein, the term “cycloalkyl” refers to a cyclic alkyl group, which may be (mono or multi) substituted or unsubstituted. Suitable substituents include, for example, hydroxy, alkyl, halo, alkoxy, haloalkyl, haloalkoxy, amino, aminoalkyl, or cycloalkyl groups.

As used herein, the term “alkenyl” refers to one or more carbon-carbons that may be branched or unbranched and may be (one or more) substituted or unsubstituted. A carbon chain containing a double bond. Preferably, the alkenyl group, C _{2 to 20} alkenyl group, more preferably C _{2 to 15} alkenyl group, more preferably C _{2 to 10} alkenyl group, more preferably C _{2 to 8} alkenyl group or, more preferably C _{2, ~ 6} alkenyl groups. Suitable substituents include, for example, hydroxy, alkyl, halo, alkoxy, haloalkyl, haloalkoxy, amino, aminoalkyl, or cycloalkyl groups.

As used herein, the term “alkynyl” refers to one or more carbon-carbons that may be branched or unbranched and may be (one or more) substituted or unsubstituted. A carbon chain containing a triple bond. Preferably, the alkynyl group, C _{2 to 20} alkynyl group, more preferably C _{2 to 15} alkynyl group, more preferably C _{2 to 10} alkynyl group, more preferably C _{2 to 8} alkynyl group, or more preferably C _{2, ~ 6} alkynyl groups. Suitable substituents include, for example, hydroxy, alkyl, halo, alkoxy, haloalkyl, haloalkoxy, amino, aminoalkyl, or cycloalkyl groups.

As used herein, the term “aryl” refers to a C _6-10 aromatic group, which may be (one or multiple) substituted or unsubstituted. Typical examples include phenyl and naphthyl. Suitable substituents include, for example, hydroxy, alkyl, halo, alkoxy, haloalkyl, haloalkoxy, amino, aminoalkyl, or cycloalkyl groups.

  As used herein, the term “heteroaryl” refers to an aryl group, as defined above, containing one or more heteroatoms. Suitable heteroatoms will be apparent to those skilled in the art and include, for example, sulfur, nitrogen, oxygen, phosphorus, and silicon. Suitable substituents include, for example, hydroxy, alkyl, halo, alkoxy, haloalkyl, haloalkoxy, amino, aminoalkyl, or cycloalkyl groups.

  As used herein, the term “linker” includes a suitable substituent capable of joining a moiety, such as a chemical moiety, to a polypeptide, such as a polypeptide backbone. Thus, the linker and chemical moiety as a whole become a substituent. The portion connected to the linker can be any suitable portion. An example is an albumin binding moiety.

  In one embodiment, the albumin binding moiety has 6 to 40 carbon atoms, 8 to 26 carbon atoms, or 14 to 22 carbon atoms, such as 16, 17, 18, 19, 20 carbon atoms. Have

In another embodiment, the albumin binding moiety is selected from the group consisting of CH ₃ (CH ₂ ) _r CO—, where r is an integer from 4 to 38, preferably from 4 to 24. Acyl group, CH ₃ (CH ₂ ) ₆ CO-, CH ₃ (CH ₂ ) ₈ CO-, CH ₃ (CH ₂ ) ₁₀ CO-, CH ₃ (CH ₂ ) ₁₂ CO-, CH ₃ (CH ₂ ) ₁₄ CO-, CH ₃ (CH ₂ ) ₁₆ CO-, CH ₃ (CH ₂ ) ₁₈ CO-, CH ₃ (CH ₂ ) ₂₀ CO- and CH ₃ (CH ₂ ) ₂₂ CO- More preferably.

  In one embodiment, the albumin binding moiety comprises a group that can be negatively charged at pH 7.4.

In one embodiment, the albumin binding moiety comprises a carboxylic acid group, such as HOOC (CH ₂ ) _s CO—, where s is an integer from 12-22. Preferably s is 16 or 18.

  In one embodiment, the moiety attached to the linker is an albumin binding moiety.

  For example, a linker attaches one or two amino acids attached at one end to a moiety (such as an albumin binding moiety) and at the other end to any available position on the polypeptide backbone. It may be included.

  In some embodiments, the linker is a bridge or linkage between an amino group on the polypeptide backbone and an acyl group on the moiety (such as an albumin binding moiety). The linker may be attached to or near the N-terminal amino acid residue. Preferably, the linker is linked to the amino acid at position 1 of the pramlintide analog.

  Another example of a linker is a combination of at least one amino acid and an amine.

  In one embodiment, preferably the amine is the group OEG and the formula of OEG is shown below.

  For some embodiments, the linker is preferably γGlu, γGlu-γGlu, γGlu-γGlu-γGlu, γGlu-γGlu-γGlu-γGlu, Glu, Glu-Glu, Glu-γGlu, Glu-Arg, Glu-Glu -Arg, His, His-His, His-γGlu, His-His-γGlu, Gly, Gly-γGlu, Ser, Ser-γGlu, D-Arg-D-Arg, Arg, Arg-Arg, Arg-Arg-γGlu , Ser-Ser-Gly-Ser-Ser, Ser-Ser-Gly-Ser-Ser-γGlu, Ser-Ser-Gly-Ser-Ser-Gly and Ser-Ser-Gly-Ser-Ser-Gly-γGlu, γGlu -OEG, γGlu-2xOEG and OEG, preferably the linker is selected from γGlu, γGlu-γGlu, γGlu-OEG, γGlu-2xOEG, and OEG, more preferably the linker is γGlu- γGlu.

  A linker can help and / or enhance the binding effect of a moiety (eg, an albumin binding moiety), for example, a linker comprising γGlu can enhance the albumin binding effect of a polypeptide.

  The use of the term “γGlu” or “gGlu” or gamma Glu or gamma-L-Glu means an amino acid having the following structure (also shown in FIG. 2):

  The term “γGlu-γGlu” means a moiety having the following structure:

  The term “γGlu-OEG” means a moiety having the following structure:

  The term “γGlu-OEG-OEG” means a moiety having the following structure:

  The term “epsilon amino group” or “ε-amino group” as used herein with respect to lysine refers to the amino group in the 6-position using the IUPAC standard numbering convention. The term “alpha amino group” or “α-amino group” refers to an amino group in the 2-position, using the standard numbering convention of IUPAC. Refers to the following structure (also shown in Figure 3).

  As used herein, the term “albumin binding moiety” refers to any chemical group capable of binding to albumin, ie, having albumin binding affinity. In one embodiment, the albumin binding moiety is an acyl group.

In some embodiments, the albumin binding moiety is
(a) CH ₃ (CH ₂ ) _r CO— [wherein r is an integer of 4 to 24],
(b) HOOC (CH ₂ ) _s CO— [wherein s is an integer from 14 to 20, for example, 16 or 18]
Preferably, the acyl group is selected from:

“Albumin binding affinity” can be determined by several methods known in the art. In one method, the compound to be measured is radiolabeled, for example with ¹²⁵ I or ³ H, and incubated with immobilized albumin (Kurtzhals et al., Biochem. J., 312, 725-731 (1995)). Calculate the binding of the compound relative to the standard. In another method, the relevant compound is radiolabeled, eg, its binding to albumin immobilized on SPA beads is competed by a dilution series of the compound to be measured. The competitive EC ₅₀ value is a measure of the affinity of the compound. In the third method, the receptor affinity or potency of a compound is measured at different albumin concentrations, but the relative affinity or potency change of the compound as a function of albumin concentration reflects its affinity for albumin. .

The polypeptides of the present invention show sufficient efficacy. The term “potency” is used to describe the effect of a given compound in an assay in which a sigmoid relationship is established between the log concentration and the effect of the compound. Furthermore, the response should vary from 0% to 100%. EC (Effective Concentration) ₅₀ can be used to describe the concentration of a given compound that produces a 50% response in the assay, such as in a functional assay.

  The polypeptides of the present invention exhibit good activity. The term “activity” refers to the ability to reduce appetite and / or increase satiety. Activity can be measured, for example, by the ability to reduce appetite, as described in Assay (I) herein.

  The polypeptides of the present invention exhibit good physical stability. The term “physical stability” of a polypeptide or formulation thereof according to the present invention refers to the interaction of the polypeptide with the interface and surface that causes thermomechanical stress and / or destabilization such as hydrophobic surfaces and interfaces. Refers to a tendency not to form biologically inert and / or insoluble aggregates as a result of exposure to action. The physical stability of an aqueous polypeptide formulation is determined by visual inspection, ThT fibril formation assay (sometimes referred to as a ThT fibrillogenesis assay), and / or turbidity, as described elsewhere herein. It can be evaluated by measurement. Visual inspection of the formulation is performed in a sharp focused light with a dark background. The turbidity of the preparation is a scale of turbidity, for example, 0 to 3 (the preparation not showing turbidity corresponds to a visual score of 0, and the preparation showing visual turbidity in daylight corresponds to a visual score of 3). Is characterized by a visual score rating. A formulation is classified physically unstable with respect to protein aggregation when it shows visual turbidity in daylight. Alternatively, the turbidity of the formulation may be assessed by simple turbidity measurements well known to those skilled in the art.

  The polypeptides of the present invention exhibit good chemical stability. The term "chemical stability" of a polypeptide according to the invention or its formulation is free of chemical covalent changes in the polypeptide structure and is therefore potentially less potent than the parent (native) polypeptide structure. And / or avoiding the generation of chemical degradation products with potentially increased immunogenic properties. Depending on the type and nature of the parent polypeptide and the environment to which the polypeptide is exposed, various chemical degradation products can be produced. The elimination of chemical degradation is almost certainly not avoidable and, as is well known to those skilled in the art, an increasing amount of chemical degradation products during storage and use of polypeptide formulations Is often recognized. Most polypeptides are susceptible to deamidation, the process by which side chain amide groups in glutaminyl or asparaginyl residues are hydrolyzed to free carboxylic acids. Other degradation pathways involve the production of high molecular weight transformation products in which two or more polypeptide molecules are covalently linked to each other by transamidation and / or disulfide interactions, and covalently linked dimers, oligomers, And polymer degradation products are produced (Stability of Protein Pharmaceuticals, Ahern. TJ & Manning MC, Plenum Press, New York 1992). Oxidation (eg of methionine residues) can be mentioned as another variation of chemical degradation. The chemical stability of a polypeptide formulation can be assessed by measuring the amount of chemical degradation products at several time points after exposure to different environmental conditions. Can be accelerated by raising). The amount of each individual degradation product is often separated using a variety of chromatographic techniques (e.g., SEC-HPLC and / or RP-HPLC) according to molecular size and / or charge. By seeking.

  The term “stabilized formulation” refers to a formulation that has improved physical stability, chemical stability, or physical and chemical stability compared to an aqueous solution of a polypeptide.

General aspects In one aspect, the invention relates to a polypeptide comprising an amino acid sequence that is an analog of SEQ ID NO: 2.
The analog comprises a proline residue at position 37;
The numbering of the amino acid sequence of the analog corresponds to the amino acid numbering sequence of SEQ ID NO: 2,
In some cases, a polypeptide has at least one substituent attached to at least one of its amino acid residues.

In another aspect, the invention relates to a polypeptide comprising an amino acid sequence that is an analog of SEQ ID NO: 2,
(a) the analog comprises a proline residue at position 37;
The numbering of the amino acid sequence of the analog corresponds to the amino acid numbering sequence of SEQ ID NO: 2,
(b) the analog has a solubility of about 100 μM or more at pH 4,
In some cases, a polypeptide has at least one substituent attached to at least one of its amino acid residues.

In another aspect, the invention relates to a polypeptide comprising an amino acid sequence that is an analog of SEQ ID NO: 2,
(a) the analog comprises a proline residue at position 37;
The numbering of the amino acid sequence of the analog corresponds to the amino acid numbering sequence of SEQ ID NO: 2,
(b) the polypeptide has a solubility of about 100 μM or more at pH 7,
In some cases, a polypeptide has at least one substituent attached to at least one of its amino acid residues.

In another aspect, the invention relates to a polypeptide comprising an amino acid sequence that is an analog of SEQ ID NO: 2,
(a) the analog comprises a proline residue at position 37;
The numbering of the amino acid sequence of the analog corresponds to the amino acid numbering sequence of SEQ ID NO: 2,
(b) the polypeptide has a solubility of about 100 μM or more at pH 4,
(c) the polypeptide has a solubility of about 100 μM or more at pH 7,
In some cases, a polypeptide has at least one substituent attached to at least one of its amino acid residues.

In another aspect, the invention relates to a polypeptide comprising an amino acid sequence that is an analog of SEQ ID NO: 2,
(a) the analog comprises a proline residue at position 37;
The numbering of the amino acid sequence of the analog corresponds to the amino acid numbering sequence of SEQ ID NO: 2,
(b) the polypeptide has a solubility of about 100 μM or more at pH 4,
(c) the polypeptide has a solubility of about 100 μM or more at pH 7,
(d) the polypeptide has a physical stability of about 25 hours or more in a fibrillogenesis assay;
In some cases, a polypeptide has at least one substituent attached to at least one of its amino acid residues.

In another aspect, the invention relates to a polypeptide comprising an amino acid sequence that is an analog of SEQ ID NO: 2,
(a) the analog comprises a proline residue at position 37;
(b) the analog comprises a glutamic acid residue at position 14,
The numbering of the amino acid sequence of the analog corresponds to the amino acid numbering sequence of SEQ ID NO: 2,
In some cases, a polypeptide has at least one substituent attached to at least one of its amino acid residues.

In another aspect, the invention relates to a polypeptide comprising an amino acid sequence that is an analog of SEQ ID NO: 2,
(a) the analog comprises a proline residue at position 37;
(b) the analog comprises a glutamic acid residue at position 14,
The numbering of the amino acid sequence of the analog corresponds to the amino acid numbering sequence of SEQ ID NO: 2,
(c) the analog has a solubility of about 100 μM or more at pH 4,
In some cases, a polypeptide has at least one substituent attached to at least one of its amino acid residues.

In another aspect, the invention relates to a polypeptide comprising an amino acid sequence that is an analog of SEQ ID NO: 2,
(a) the analog comprises a proline residue at position 37;
(b) the analog comprises a glutamic acid residue at position 14,
The numbering of the amino acid sequence of the analog corresponds to the amino acid numbering sequence of SEQ ID NO: 2,
(c) the polypeptide has a solubility of about 100 μM or more at pH 7,
In some cases, a polypeptide has at least one substituent attached to at least one of its amino acid residues.

In another aspect, the invention relates to a polypeptide comprising an amino acid sequence that is an analog of SEQ ID NO: 2,
(a) the analog comprises a proline residue at position 37;
(b) the analog comprises a glutamic acid residue at position 14,
The numbering of the amino acid sequence of the analog corresponds to the amino acid numbering sequence of SEQ ID NO: 2,
(c) the polypeptide has a solubility of about 100 μM or more at pH 4,
(d) the polypeptide has a solubility of about 100 μM or more at pH 7,
In some cases, a polypeptide has at least one substituent attached to at least one of its amino acid residues.

In another aspect, the invention relates to a polypeptide comprising an amino acid sequence that is an analog of SEQ ID NO: 2,
(a) the analog comprises a proline residue at position 37;
(b) the analog comprises a glutamic acid residue at position 14,
The numbering of the amino acid sequence of the analog corresponds to the amino acid numbering sequence of SEQ ID NO: 2,
(c) the polypeptide has a solubility of about 100 μM or more at pH 4,
(d) the polypeptide has a solubility of about 100 μM or more at pH 7,
(e) the polypeptide has a physical stability of about 25 hours or more in a fibrillogenesis assay;
In some cases, a polypeptide has at least one substituent attached to at least one of its amino acid residues.

In another aspect, the invention relates to a polypeptide comprising an amino acid sequence that is an analog of SEQ ID NO: 2,
(a) the analog comprises a proline residue at position 37;
(b) the analog comprises a glutamic acid residue at position 14,
(c) the analog comprises a histidine or arginine residue at position 17,
The numbering of the amino acid sequence of the analog corresponds to the amino acid numbering sequence of SEQ ID NO: 2,
In some cases, a polypeptide has at least one substituent attached to at least one of its amino acid residues.

In another aspect, the present invention provides compounds of formula (I):
Xaa ₁ -Cys-Xaa ₃ -Thr-Ala-Thr-Cys-Ala-Thr-Gln-Arg-Leu-Ala-Xaa ₁₄ -Phe-Leu-Xaa ₁₇ -Xaa ₁₈ -Ser-Ser-Xaa ₂₁ -Xaa ₂₂ -Phe-Gly-Pro-Xaa ₂₆ -Leu-Pro-Pro-Thr-Xaa ₃₁ -Val-Gly-Ser-Xaa ₃₅ -Thr-Pro,
Formula (I) (SEQ ID NO: 3)
A polypeptide comprising an amino acid sequence that is an analog of SEQ ID NO:
Xaa ₁ is deleted or individually selected from Ala, Cys, Glu, Gly, His, Arg, Ser, and Lys,
Xaa ₃ is individually selected from Gly, His, Arg, Ser, and Asn,
Xaa ₁₄ is individually selected from Glu and Asn,
Xaa ₁₇ is individually selected from His, Arg, Lys, and Val,
Xaa ₁₈ is individually selected from Arg, Lys, and His,
Xaa ₂₁ is individually selected from Ala, Lys, Gln, Ser, and Asn,
Xaa ₂₂ is individually selected from Glu, Gln, Ser, Thr, and Asn,
Xaa ₂₆ is individually selected from Pro, Arg, and Ile,
Xaa ₃₁ is individually selected from Ser, Glu, Asp, and Asn,
Xaa ₃₅ is individually selected from His, Arg, Lys, Asp, Gln, and Glu,
The C-terminus may optionally be derivatized,
In some cases, a polypeptide has at least one substituent attached to at least one of its amino acid residues.

In another aspect, the invention relates to a polypeptide comprising an amino acid sequence that is an analog of SEQ ID NO: 2,
(a) the analog comprises a glutamic acid residue at position 14,
(b) the analog comprises a histidine or arginine residue at position 17,
(c) the analog comprises a histidine residue at position 35;
The numbering of the amino acid sequence of the analog corresponds to the amino acid numbering sequence of SEQ ID NO: 2,
(d) the polypeptide has a solubility of about 100 μM or more at pH 4,
In some cases, a polypeptide has at least one substituent attached to at least one of its amino acid residues.

In another aspect, the invention relates to a polypeptide comprising an amino acid sequence that is an analog of SEQ ID NO: 2,
(a) the analog comprises a glutamic acid residue at position 14,
(b) the analog comprises a histidine or arginine residue at position 17,
(c) the analog comprises a histidine residue at position 35;
The numbering of the amino acid sequence of the analog corresponds to the amino acid numbering sequence of SEQ ID NO: 2,
(d) the polypeptide has a solubility of about 100 μM or more at pH 7,
In some cases, a polypeptide has at least one substituent attached to at least one of its amino acid residues.

In another aspect, the invention relates to a polypeptide comprising an amino acid sequence that is an analog of SEQ ID NO: 2,
(a) the analog comprises a glutamic acid residue at position 14,
(b) the analog comprises a histidine or arginine residue at position 17,
(c) the analog comprises a histidine residue at position 35;
The numbering of the amino acid sequence of the analog corresponds to the amino acid numbering sequence of SEQ ID NO: 2,
(d) the polypeptide has a solubility of about 100 μM or more at pH 4,
(e) the polypeptide has a solubility of about 100 μM or higher at pH 7,
In some cases, a polypeptide has at least one substituent attached to at least one of its amino acid residues.

In another aspect, the invention relates to a polypeptide comprising an amino acid sequence that is an analog of SEQ ID NO: 2,
(a) the analog comprises a glutamic acid residue at position 14,
(b) the analog comprises a histidine or arginine residue at position 17,
(c) the analog comprises a histidine residue at position 35;
The numbering of the amino acid sequence of the analog corresponds to the amino acid numbering sequence of SEQ ID NO: 2,
(d) the polypeptide has a physical stability of about 25 hours or more in a fibrillogenesis assay;
In some cases, a polypeptide has at least one substituent attached to at least one of its amino acid residues.

In another aspect, the invention relates to a polypeptide comprising an amino acid sequence that is an analog of SEQ ID NO: 2,
(a) the analog comprises a glutamic acid residue at position 14,
(b) the analog comprises a histidine or arginine residue at position 17,
(c) the analog comprises a histidine residue at position 35;
The numbering of the amino acid sequence of the analog corresponds to the amino acid numbering sequence of SEQ ID NO: 2,
(d) the polypeptide has a solubility of about 100 μM or more at pH 4,
(e) the polypeptide has a solubility of about 100 μM or higher at pH 7,
(f) the polypeptide has a physical stability of about 25 hours or more in a fibrillogenesis assay;
In some cases, a polypeptide has at least one substituent attached to at least one of its amino acid residues.

Some Advantages The polypeptides of the present invention may exhibit improved physical stability.

  The polypeptides of the present invention may exhibit improved solubility.

  The polypeptides of the present invention may exhibit both improved physical stability and solubility.

Some preferred embodiments Assays suitable for measuring human amylin receptor binding and potency, solubility, and physical stability are set forth herein (e.g., assays (II), (IV) and (III), respectively). See).

Xaa ₁₄ is preferably Glu.

Xaa ₁₇ is preferably His or Arg, more preferably Arg.

Xaa ₃₅ is preferably Asn or Gln, and more preferably Asn.

Xaa ₁₄ is preferably Glu and Xaa ₁₇ is preferably Arg.

Xaa ₁₄ is preferably Glu and Xaa ₁₇ is preferably His.

In one preferred embodiment of the invention, the polypeptide comprising an amino acid sequence that is an analog of SEQ ID NO: 2 is
Xaa ₁ is Lys,
Xaa ₃ is Asn,
Xaa ₁₄ is Glu,
Xaa ₁₇ is His or Arg;
Xaa ₁₈ is His,
Xaa ₂₁ is Asn,
Xaa ₂₂ is Asn,
Xaa ₂₆ is Ile,
Xaa ₃₁ is Asn,
Xaa ₃₅ is Asn,
A polypeptide of formula (I).

In one preferred embodiment of the invention, the polypeptide comprising an amino acid sequence that is an analog of SEQ ID NO: 2 is
Xaa ₁ is deleted or individually selected from His, Arg, and Lys;
Xaa ₃ is individually selected from Gly, His and Asn,
Xaa ₁₄ is individually selected from Glu and Asn,
Xaa ₁₇ is individually selected from His, Arg and Val,
Xaa ₁₈ is individually selected from Arg and His,
Xaa ₂₁ is individually selected from Ser and Asn,
Xaa ₂₂ is Asn,
Xaa ₂₆ is Ile,
Xaa ₃₁ is individually selected from Glu and Asn,
Xaa ₃₅ is individually selected from His, Arg, Lys, Asp, Gln, and Glu.
A polypeptide of formula (I).

In one preferred embodiment of the invention, the polypeptide comprising an amino acid sequence that is an analog of SEQ ID NO: 2 is
Xaa ₁ is deleted or individually selected from Gly, His, Arg, Ser, and Lys;
Xaa ₃ is individually selected from His and Asn,
Xaa ₁₄ is individually selected from Glu and Asn,
Xaa ₁₇ is individually selected from His, Arg, and Val,
Xaa ₁₈ is individually selected from Arg and His,
Xaa ₂₁ is individually selected from Gln, Ser, and Asn,
Xaa ₂₂ is Asn,
Xaa ₂₆ is individually selected from Pro and Ile,
Xaa ₃₁ is Asn,
Xaa ₃₅ is a polypeptide of formula (I) is Asn.

In one preferred embodiment of the invention, the polypeptide comprising an amino acid sequence that is an analog of SEQ ID NO: 2 is
Xaa ₁ is deleted or individually selected from Ala, Cys, Glu, Gly, His, Arg, Ser, and Lys,
Xaa ₃ is Asn,
Xaa ₁₄ is Glu,
Xaa ₁₇ is individually selected from His, Arg, and Val,
Xaa ₁₈ is individually selected from Arg, Lys, and His,
Xaa ₂₁ is individually selected from Gln and Asn,
Xaa ₂₂ is individually selected from Thr and Asn,
Xaa ₂₆ is Ile,
Xaa ₃₁ is Asn,
Xaa ₃₅ is, Gln, is a polypeptide of formula (I) are those selected independently from Gly, and Asn.

In one preferred embodiment of the invention, the polypeptide comprising an amino acid sequence that is an analog of SEQ ID NO: 2 is
Xaa ₁ is deleted,
Xaa ₃ is individually selected from Gly and Asn,
Xaa ₁₄ is Glu,
Xaa ₁₇ is individually selected from His, Arg, and Val,
Xaa ₁₈ is individually selected from Arg and His,
Xaa ₂₁ is individually selected from Gln and Asn,
Xaa ₂₂ is individually selected from Gln and Asn,
Xaa ₂₆ is Ile,
Xaa ₃₁ is individually selected from Glu and Asn,
Xaa ₃₅ is, Asn, is a polypeptide of formula (I) are those selected independently from Gln, and Glu.

In one preferred embodiment of the invention, the polypeptide comprising an amino acid sequence that is an analog of SEQ ID NO: 2 is
Xaa ₁ is Lys,
Xaa ₃ is Asn,
Xaa ₁₄ is Glu,
Xaa ₁₇ is individually selected from His, Lys, Arg, and Val,
Xaa ₁₈ is individually selected from Arg and His,
Xaa ₂₁ is individually selected from Ala, Lys, Gln, and Ser,
Xaa ₂₂ is individually selected from Glu, Gln, Ser, Thr, and Asn,
Xaa ₂₆ is individually selected from Pro and Ile,
Xaa ₃₁ is individually selected from Ser, Glu, Asp, and Asn,
Xaa ₃₅ is a polypeptide of formula (I) are those selected Gln, Glu, and Asn to individually.

  In one embodiment, the C-terminus may be derivatized.

  In one embodiment, the C-terminus of the polypeptide may be terminated as either an acid or an amide. In one aspect, the C-terminus of the polypeptide is an amide.

In one embodiment, the C-terminus is an amide of formula (II):
(II) C (O) NR ¹ R ²
Wherein R ¹ and R ² are individually selected from H and alkyl. R ¹ and R ² are preferably both H.

  In one embodiment, the polypeptides of the invention may have substituents attached to any available position on one or more of the amino acid residues. Examples of substituents include chemical moieties directly attached to one or more of the amino acid residues, or chemical moieties indirectly attached to one or more of the amino acid residues by a linker. Those skilled in the art will know the available attachment points. Examples of available attachment points include the N-terminus of a polypeptide, the C-terminus of a polypeptide, the epsilon-amino group of a lysine residue, the hydroxyl group of a serine, tyrosine, or threonine residue, the amide group of an asparagine or glutamine residue , Carboxyl groups of aspartic acid or glutamic acid residues, and thiol groups of cysteine residues. The substituent is preferably bound to the N-terminus of the polypeptide or to the epsilon amino group of the lysine residue.

  In another embodiment, the substituent is attached to the N-terminal amino group of the polypeptide and the N-terminal amino acid residue is that corresponding to position 1 of the analog of SEQ ID NO: 2.

  In another embodiment, the substituent is attached to the epsilon amino group of a lysine residue that becomes position 1 of the analog of SEQ ID NO: 2.

  In one embodiment, the substituent is selected from a hydrocarbyl substituent, a hydroxyl group, and a halogen atom. Examples of suitable halogen atoms include F, Cl, Br, and I. The substituent is preferably a hydrocarbyl substituent.

In another embodiment, the hydrocarbyl substituent is an alkyl group or a group of formula (III):
(III) L _n -Y
[Where
L is a linker,
n = 0 or 1,
Y is a chemical moiety such as an albumin binding moiety].

  In one embodiment, the linker comprises 1-10 amino acids. The linker may further comprise an amine.

Examples of suitable amines include the following amines:
-C (O)-(CH ₂ ) _l -O- [CH ₂ CH ₂ -O] _m- (CH ₂ ) _p- [NHC (O)-(CH ₂ ) _l -O-[(CH ₂ ) _n -O] _m- (CH ₂ ) _p ] _q -NH-
[Wherein, l, m, n, and p are individually 1 to 7, and q is 0 to 5. ]

For example, the linker
-C (O) -CH ₂ -O-CH ₂ -CH ₂ -O-CH ₂ -CH ₂ -NH-; and
-C (O) -CH ₂ -O-CH ₂ -CH ₂ -O-CH ₂ -CH _2- [NHC (O) -CH ₂ -O-CH ₂ -CH ₂ -O-CH ₂ -CH _2- ] ₁ -NH-; and _{-C (O) - (CH 2} ) 2 -O- [CH 2 CH 2 -O] 7 - (CH 2) 2 -NH-
May contain an amine selected from:

In another embodiment, the linker is a combination of an amino acid residue and an amine as described above, for example
γGlu-C (O) -CH ₂ -O-CH ₂ -CH ₂ -O-CH ₂ -CH _2- [NHC (O) -CH ₂ -O-CH ₂ -CH ₂ -O-CH ₂ -CH ₂ -] ₁ -NH-; or
Arg-Arg-γGlu-C (O) -CH ₂ -O-CH ₂ -CH ₂ -O-CH ₂ -CH _2- [NHC (O) -CH ₂ -O-CH ₂ -CH ₂ -O-CH ₂ -CH _2- ] ₁ -NH-
It is.

  In some embodiments, n = 1 and L is γGlu, γGlu-γGlu, γGlu-γGlu-γGlu, γGlu-γGlu-γGlu-γGlu, Glu, Glu-Glu, Glu-γGlu, Glu-Arg, Glu-Glu-Arg, His, His-His, His-γGlu, His-His-γGlu, Gly, Gly-γGlu, Ser, Ser-γGlu, D-Arg-D-Arg, Arg, Arg-Arg, Arg- Arg-γGlu, Ser-Ser-Gly-Ser-Ser, Ser-Ser-Gly-Ser-Ser-γGlu, Ser-Ser-Gly-Ser-Ser-Gly and Ser-Ser-Gly-Ser-Ser-Gly- It is selected from the group consisting of γGlu, γGlu-OEG, γGlu-OEG-OEG and OEG.

  In some embodiments, n = 1 and L is selected from γGlu, γGlu-γGlu, γGlu-OEG, γGlu-OEG-OEG, and OEG, more preferably the linker is γGlu-γGlu. .

  In another embodiment, n = 0 and therefore there is no linker between the amino acid residue of the polypeptide backbone and the chemical moiety Y, i.e., Y is available on the polypeptide backbone. It is connected to the correct position.

  In one embodiment, Y is an albumin binding moiety.

  In one embodiment, the albumin binding moiety is an acyl group.

The albumin binding moiety is preferably HOOC (CH ₂ ) _s CO— [wherein s is an integer of 12 to 22]. More preferably, s is an integer from 14 to 20, for example 14, 15, 16, 17, 18, 19, or 20. More preferably, s is 16-18. More preferably, s is 18.

In one embodiment, a polypeptide of the invention comprises a γGlu linker attached to the N-terminus of an amylin analog, and HOOC (CH ₂ ) ₁₈ CO or HOOC (CH ₂ ) ₁₆ CO— as an albumin binding residue. The sequence of the amylin analog comprises Glu at position 14, His or Arg at position 17, His at position 35, or Pro at position 37, in contrast to SEQ ID NO: 2.

  In another embodiment, the substituents and / or groups of formula (III) are selected from the following groups shown in Table 1.

  The polypeptide of the present invention preferably contains one substituent.

  The polypeptide of the present invention preferably has one substituent bonded to the N-terminal amino group of the polypeptide, and the N-terminal amino acid residue corresponds to position 1 of the analogue of SEQ ID NO: 2. is there.

  Preferably, the substituents are:

  Preferably, the substituent

Is bound to the N-terminal amino group of the polypeptide.

  For embodiments comprising an albumin binding moiety, the polypeptides of the invention may exhibit a prolonged pharmacokinetic profile and good pharmacodynamic properties. Thus, the polypeptides according to the invention do not need to be injected as often as known amylin products.

  Furthermore, the polypeptides of the present invention reduce food intake. The reduction in food intake is superior to known amylin products.

  In one embodiment, the albumin binding moiety binds to albumin without being covalently bound. Preferably, the albumin binding moiety has an albumin binding affinity for human serum albumin of less than about 10 μM or less than about 1 μM.

  In one embodiment, the polypeptides of the invention are selected from the following compounds shown in Table 2 (bottom). Table 2 lists compounds with a pH of 4 and a solubility higher than 100 μM.

  As demonstrated herein in the Examples section, the polypeptides shown above have a solubility of 100 μM (micromolar) or higher at pH 4.

  In one embodiment, the polypeptide of the present invention has a solubility of at least 125 μM (micromolar) at pH 4.

  In one embodiment, the polypeptide of the present invention has a solubility of 150 μM (micromolar) or higher at pH 4.

  In one embodiment, the polypeptide of the present invention has a solubility of at least 175 μM (micromolar) at pH 4.

  In one embodiment, the polypeptide of the present invention has a solubility of at least 200 μM (micromolar) at pH 4.

  In one embodiment, solubility is measured with a solubility assay as set forth herein.

  In yet another embodiment, the polypeptide of the invention is selected from the following compounds shown in Table 3 (below):

  Table 3 lists compounds with a pH of 7 and a solubility higher than 100 μM.

  As demonstrated herein in the Examples section, the polypeptides shown above have a solubility of at least 100 μM (micromolar) at pH 7.

  In one embodiment, the polypeptides of the invention have a solubility of at least 125 μM (micromolar) at pH 7.

  In one embodiment, the polypeptides of the invention have a solubility of at least 150 μM (micromolar) at pH 7.

  In one embodiment, the polypeptide of the present invention has a solubility of at least 175 μM (micromolar) at pH 7.

  In one embodiment, the polypeptide of the present invention has a solubility of at least 200 μM (micromolar) at pH 7.

  In one embodiment, solubility is measured with a solubility assay as set forth herein.

  Table 4 lists compounds with solubility greater than 100 μM at both pH 4 and pH 7.

  As demonstrated herein in the Examples section, the polypeptides shown above have a solubility of at least 100 μM (micromolar) at both pH 4 and pH 7.

  In one embodiment, the polypeptides of the invention have a solubility of 125 μM (micromolar) or higher at both pH 4 and pH 7.

  In one embodiment, the polypeptides of the invention have a solubility of 150 μM (micromolar) or higher at both pH 4 and pH 7.

  In one embodiment, the polypeptides of the present invention have a solubility of 175 μM (micromolar) or higher at both pH 4 and pH 7.

  In one embodiment, the polypeptides of the invention have a solubility of 200 μM (micromolar) or higher at both pH 4 and pH 7.

  In one embodiment, solubility is measured with a solubility assay as set forth herein.

  Table 5 shows a list of compounds that have a physical stability of 25 hours or more in the fibrillogenesis assay.

  As demonstrated herein in the Examples section, the polypeptides shown above have a physical stability of 25 hours or more in a fibrillogenesis assay.

  In one embodiment, the polypeptide of the present invention has a physical stability of 30 hours or more.

  In one embodiment, the polypeptides of the present invention have a physical stability of 35 hours or more.

  In one embodiment, the polypeptides of the present invention have a physical stability of 40 hours or more.

  In one embodiment, the polypeptides of the present invention have a physical stability of 45 hours or more.

  In one embodiment, physical stability is measured with a fibrillogenesis assay as set forth herein.

Table 6 shows a list of compounds having a human amylin receptor EC ₅₀ value of 1800 pM (picomolar concentration) or less.

As demonstrated herein in the Examples section, the polypeptides shown above have human amylin EC ₅₀ values of 1800 pM (picomolar) or less.

In one embodiment, a polypeptide of the invention has a human amylin EC ₅₀ value of 1500 pM (picomolar) or less.

In one embodiment, the polypeptide of the invention has a human amylin EC ₅₀ value of 1200 pM (picomolar) or less.

In one embodiment, the polypeptide of the invention has a human amylin EC ₅₀ value of 1000 pM (picomolar) or less.

In one embodiment, a polypeptide of the invention has a human amylin EC ₅₀ value of 800 pM (picomolar) or less.

In one embodiment, a polypeptide of the invention has a human amylin EC ₅₀ value of 600 pM (picomolar) or less.

In one embodiment, a polypeptide of the invention has a human amylin EC ₅₀ value of 400 pM (picomolar) or less.

In one embodiment, a polypeptide of the invention has a human amylin EC ₅₀ value of 200 pM (picomolar) or less.

In one embodiment, a polypeptide of the invention has a human amylin EC ₅₀ value of 100 pM (picomolar) or less.

In one embodiment, a polypeptide of the invention has a human amylin EC ₅₀ value of 75 pM (picomolar) or less.

In one embodiment, a polypeptide of the invention has a human amylin EC ₅₀ value of 60 pM (picomolar) or less.

In one embodiment, human amylin EC ₅₀ is measured in an assay as shown herein.

Table 7 shows a list of compounds having a human amylin receptor EC ₅₀ value of 1800 pM (picomolar concentration) or less.

As demonstrated herein in the Examples section, the polypeptide shown above has a human calcitonin EC ₅₀ value of 1800 pM (picomolar) or less.

In one embodiment, the polypeptides of the invention have a human calcitonin EC ₅₀ value of 1500 pM (picomolar) or less.

In one embodiment, a polypeptide of the invention has a human calcitonin EC ₅₀ value of 1200 pM (picomolar) or less.

In one embodiment, a polypeptide of the invention has a human calcitonin EC ₅₀ value of 1000 pM (picomolar) or less.

In one embodiment, the polypeptide of the invention has a human calcitonin EC ₅₀ value of 800 pM (picomolar) or less.

In one embodiment, a polypeptide of the invention has a human calcitonin EC ₅₀ value of 600 pM (picomolar) or less.

In one embodiment, a polypeptide of the invention has a human calcitonin EC ₅₀ value of 400 pM (picomolar) or less.

In one embodiment, a polypeptide of the invention has a human calcitonin EC ₅₀ value of 200 pM (picomolar) or less.

In one embodiment, a polypeptide of the invention has a human calcitonin EC ₅₀ value of 100 pM (picomolar) or less.

In one embodiment, the polypeptide of the invention has a human calcitonin EC ₅₀ value of 80 pM (picomolar) or less.

In one embodiment, human calcitonin EC ₅₀ is measured in an assay as set forth herein.

Table 8 shows compounds with a human amylin receptor EC ₅₀ value of 1800 pM (picomolar) or less, a solubility of 150 μM or more at pH 7, and a physical stability of 25 hours or more in a fibrillogenesis assay. A list is shown.

In one embodiment, a polypeptide of the invention has a human amylin EC ₅₀ value of 1800 pM (picomolar) or less, a solubility of greater than 150 μM at pH 7, and a physical stability of 25 hours or more in a fibrillogenesis assay.

In one embodiment, human amylin EC ₅₀ , solubility at pH 7, and physical stability are measured in an assay as shown herein.

Table 9 shows compounds with a human amylin receptor EC ₅₀ value of 1800 pM (picomolar) or less, a solubility of at least 200 μM at pH 7, and a physical stability of 45 hours or more in a fibrillogenesis assay. A list is shown.

In one embodiment, a polypeptide of the invention has a human amylin EC ₅₀ value of 1800 pM (picomolar) or less, a solubility of greater than 200 μM at pH 7, and a physical stability of 45 hours or more in a fibrillogenesis assay.

In one embodiment, human amylin EC ₅₀ , solubility at pH 7, and physical stability are measured in an assay as shown herein.

In one embodiment of the present invention, the amylin derivative is
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, His17, Arg18] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu8, Glu14, His17, Arg18] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[des1, Gly3, Glu14, His17, Arg18, Glu31, Gly35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[des1, Gly3, Glu14, His17, Arg18, Gln21, Gln22, Glu31, Gly35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu1, Glu14, His17, Arg18] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, His17, Arg18, Ala25, Pro26, Ser28, Ser29] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, His17, Arg18, Glu25, Ser28, Arg29] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, His17, Arg18, Glu22, Ala25, Arg26, Ser28, Ser29] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, His17, Arg18, Ser21, Ser22, Asp31, Asp35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu1, Glu14, His17, Arg18, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, Glu14, Arg17] -pramlintide,
N-ε21- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Arg1, Glu14, His17, Arg18, Lys21] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, Arg18] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Gly3, Glu14, His17, Arg18, Ser21, Ser22, Glu31, Glu35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His- [His1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, Glu14, His17, Ala25, Pro26, Ser28, Ser29] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, Glu14] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, Glu14, His17, Arg35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, Arg3, Glu14, His17] -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[His1, Glu14, His17, Arg18, Ala19, Thr20, Gln21, Glu22, Leu23] -pramlintide
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu1, Gly3, Glu14, Arg18, Ser21, Ser22, Ala25, Pro26, Ser28, Ser29, Glu31, Arg35] -Pramlintide
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu- [Arg1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu- [Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[des1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu1, Glu14, His17, Arg18] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, His3, Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, His3, Glu14, His17, His29, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, Glu14, His17, His29, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, His3, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, Glu14, His17, His29] -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl] -D-Arg-D-Arg- [Glu14, His17, Arg18] -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl] -D-Arg-D-Arg- [Glu14, His17, Arg18, Ala21, Ser35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Ser-Ser-Gly-Ser-Ser- [Gly1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu- [His1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Glu- [Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl] -Glu- [Glu14, His17] -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[des1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Ser-Ser-Gly-Ser-Ser-Gly- [His1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl] -His-His- [His1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl]-[Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl] -His- [His1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl]-[His1, Glu14, His17] -pramlintide,
N-α-{(S) -4-carboxy-4-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyrylamino] butyryl}-[des1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg17] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl]-[Glu14, Arg17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu10, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu- [Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu- [Glu14, Arg17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl]-[Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl] -Glu- [Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl]-[Glu14, Arg17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl] -Glu- [Glu14, Arg17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, Glu14, His17, Ser21, Glu35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Ala25, Pro26, Ser28, Ser29, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg17, Ala25, Pro26, Ser28, Ser29, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His- [Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His- [Glu14, Arg17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [Glu14, Arg17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl] -His- [Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl] -His- [Glu14, Arg17, His35] -pramlintide,
N-ε25- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, Ser21, Lys25] -pramlintide,
N-ε25- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, His17, Lys25] -pramlintide,
N-ε21- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, His17, Lys21, Glu35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[des1, Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, His17, Arg18, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Arg18, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Arg18] -pramlintide,
N-ε17- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, Lys17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Gly- [Glu14, His17, His35] -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu1, Glu14, His17, Pro37] -pramlintide,
N-ε17- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, Lys17, Ser21, Glu35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, His17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Ser- [Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Pro37] -pramlintide,
N-ε1-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Gly1, Glu14, Arg17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Gly- [His1, Glu14, Arg17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, Arg17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Gly1, Glu14, His17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Gly- [His1, Glu14, His17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His35] -pramlintide,
N-ε1-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl]-[Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Arg1, Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Arg1, Glu14, His17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Arg1, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Arg1, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Gly- [Arg1, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Gly- [Arg1, Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Gly- [Arg1, Glu14, His17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Gly- [Arg1, Glu14, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Gly- [Arg1, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[des1, Glu14, His17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Gly1, Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Ser1, Glu14, His17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Ser1, Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[des1, Glu14, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, Ser21, Ser28, Ser29, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, Arg17, Ser21, Ser28, Ser29, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Arg35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Lys35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, His36] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, His34] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, His32] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Gln21, His35) -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, His17, Ser21, His35] -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[His1, Glu14, His17, Ser21, His35] -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl] -D-Arg-D-Arg- [Orn1, Glu14, His17, Arg18] -pramlintide,
N-α- (19-carboxynonadecanoyl) -Glu-Glu-Arg- [Glu1, Pro37] -pramlintide
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Arg- [Glu1, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Arg- [Glu1, Glu14, His17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Arg- [Glu1, Glu14, Arg17, Pro37] -pramlintide,
N-α- (19-carboxynonadecanoyl) -Glu-Glu-Arg- [Glu1, Glu14, His17, Pro37] -pramlintide,
N-ε25- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, Lys25] -pramlintide,
N-ε21- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, Lys21, Ser29, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Asp21, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu- [Glu14, His17, Gln21, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Gln21, Pro37] -pramlintide,
N-ε21- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, Lys21, Ser28, Ser29, His35] -pramlintide,
N-ε21- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, Lys21, His35] -pramlintide,
N-ε25- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, His17, Ser21, Lys25, Ser28, Ser29.His35] -pramlintide,
N-ε25- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[His17, His21, Lys25, Ser28, Ser29.His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Gln35, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Gln21, Gln35, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Gly1, Glu14, His17, Gln21, Gln35, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu1, Glu14, Gln21, Gln35, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Gln21, Gln35, Pro37] -pramlintide,
N-ε25- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[His17, Lys25, Ser28, Ser29, His35] -pramlintide,
N-ε21- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[His17, Lys21, Ser28, His35] -pramlintide,
N-ε25- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, His17, Lys25, Ser28, Ser29, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, Arg18, Pro37] -pramlintide,
N-ε21- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, His17, Lys21, Ser28, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Lys11, Glu14, His17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Thr21, Pro37] -pramlintide,
N-ε21- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, Lys21, Ser28, Arg29, His35] -pramlintide,
N-ε21- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, His17, Lys21, Ser28, Ser29, His35] -pramlintide,
N-ε1-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Arg- [Glu14, Arg17, His35, Pro37] -pramlintide,
N-ε21- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, Arg18, Lys21, Ser28, Arg29, Arg35] -pramlintide,
N-ε1-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Gln21, Ala25, Pro26, Ser28, Ser29, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Arg14, Arg17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Gly- [Arg1, Glu14, Arg17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Arg17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Glu- [Arg1, Glu14, Arg17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu- [Arg1, Glu14, Arg17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Glu- [Arg1, Glu14, Arg17, Gln21, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Glu- [Arg1, Glu14, Arg17, Gln21, Gln35, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Glu- [Arg1, Glu14, Arg17, Gln21, Gln31, Gln35, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Glu- [Arg1, Glu14, Arg17, Gln21, Gln22, Gln31, Gln35, Pro37] -pramlintide ,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Arg- [Glu1, Glu14, Arg17, Gln21, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Arg- [Glu1, Glu14, Arg17, Gln21, Gln35, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Arg- [Glu1, Glu14, Arg17, Gln21, Gln31, Gln35, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Arg- [Glu1, Glu14, Arg17, Gln21, Gln22, Gln31, Gln35, Pro37] -pramlintide ,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Glu- [Glu1, Glu14, Arg17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg18, Gln21, Ala25, Pro26, Ser28, Ser29, Pro37] -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, His17, Glu21, Pro37] -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, His17, Lys21, Pro37] -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, His17, Ala21, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg18, Ser21, Ser22, Ser28, Ser29, Asp31, Asp35, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Ser21, Ser22, Pro23, Ala25, Pro26, Ser28, Ser29, Asp31, Asp35, Pro37] -Pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg17, Asp21, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg17, Asp35, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg17, Asp31, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg17, Asp22, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Asp3, Glu14, Arg17, Pro37] -pramlintide,
N-ε1-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg17, Pro37] -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, Ala21, His35, Pro37] -pramlintide.

  For some embodiments, the polypeptides of the invention have a prolonged pharmacokinetic profile compared to pramlintide as measured by assay (IX) as described in the assay section.

  For some embodiments, the polypeptide of the invention has a plasma T1 / 2 of at least 30 hours.

  For some embodiments, the polypeptides of the invention have a plasma T1 / 2 of at least 40 hours.

  For some embodiments, the polypeptide of the invention has a plasma T1 / 2 of at least 50 hours.

  For some embodiments, the polypeptides of the invention have a plasma T1 / 2 of at least 60 hours.

  For some embodiments, the polypeptide of the invention has a plasma T1 / 2 of at least 70 hours.

  For some embodiments, the polypeptides of the invention have a plasma T1 / 2 of at least 75 hours.

  For some embodiments, the polypeptides of the invention have a plasma T1 / 2 of at least 80 hours.

  For some embodiments, the polypeptides of the invention have a plasma T1 / 2 of at least 85 hours.

  For some embodiments, the polypeptides of the invention have a plasma T1 / 2 of at least 90 hours.

  For some embodiments, the polypeptides of the invention have a plasma T1 / 2 of at least 95 hours.

  For some embodiments, the polypeptide of the invention has a plasma T1 / 2 of at least 100 hours.

Methods The production of polypeptides such as amylin and its analogs is well known in the art. Thus, the polypeptides of the present invention can be produced by classical polypeptide synthesis, eg, solid phase polypeptide synthesis using t-Boc or Fmoc chemistry or other well-established techniques. See, for example, Greene and Wuts, “Protective Groups in Organic Synthesis”, John Wiley & Sons, 1999. The polypeptide comprises culturing host cells encoding the polypeptide and containing a DNA sequence capable of expressing the polypeptide in an appropriate nutrient medium under conditions that allow expression of the polypeptide. It can also be produced by a method. For polypeptides containing unnatural amino acid residues, the recombinant cell should be modified so that the unnatural amino acid is incorporated into the polypeptide, eg, by use of a tRNA mutant.

Pharmaceutical composition In one aspect, the invention relates to a pharmaceutical composition comprising a polypeptide according to the invention and a pharmaceutically acceptable additive. The composition is suitable for parenteral administration.

  In one embodiment, the polypeptide is present in the formulation at a concentration of about 0.1 mg / ml to about 25 mg / ml. In another embodiment, the polypeptide is present in the formulation at a concentration of about 1 mg / ml to about 10 mg / ml.

  In another embodiment, the formulation has a pH of 2.0 to 10.0. In another embodiment, the formulation has a pH of 2.0-7.0. In another embodiment, the formulation has a pH of 2.5-4.5. In another embodiment, the formulation has a pH of 3.5-4.5.

  Pharmaceutical compositions containing the polypeptides according to the invention are prepared by conventional techniques, for example as described in Remington's Pharmaceutical Sciences, 1985 or Remington: The Science and Practice of Pharmacy, 19th edition, 1995. Can do.

  The formulation may further comprise buffer systems, preservatives, isotonicity agents, chelating agents, stabilizers, and / or surfactants. The use of such additives in pharmaceutical compositions is well known to those skilled in the art. For convenience, Remington: The Science and Practice of Pharmacy, 19th edition, 1995 is cited as a reference.

  In one embodiment, the pharmaceutical formulation is an aqueous formulation, ie a formulation comprising water. Such formulations are usually solutions or suspensions. In yet another embodiment of the invention, the pharmaceutical formulation is an aqueous solution.

  The term “aqueous formulation” is defined as a formulation comprising at least 50% w / w water.

  Similarly, the term “aqueous solution” is defined as a solution containing at least 50% w / w water and the term “aqueous suspension” is a suspension containing at least 50% w / w water. Is defined as

  In another embodiment, the pharmaceutical formulation is a lyophilized formulation to which a solvent and / or diluent is added by a physician or patient prior to use. In another embodiment, the pharmaceutical formulation is a dried formulation (eg, lyophilized or spray dried) ready for use without prior dissolution.

  “Dry form” means that a liquid pharmaceutical composition or formulation is freeze dried (ie, lyophilization, eg, Williams and Polli (1984) J. Parenteral Sci. Technol. 38:48). -59), spray drying (Masters (1991), Spray-Drying Handbook (5th edition, Longman Scientific and Technical, Essez, UK), 491-676; Broadhead et al. (1992) Drug Devel. Ind. Pharm. 18: 1169-1206; and Mumenthaler et al. (1994) Pharm. Res. 11: 12-20) or air dried (Carpenter and Crowe (1988) Cryobiology 25: 459-470 and Roser (1991) Biopharm. 4: 47-53) means dry.

  In yet another embodiment of the invention, the buffering agent is acetate, carbonate, citrate, glycylglycine, histidine, glycine, lysine, arginine, dihydrogen phosphate, hydrogen phosphate, phosphate. And tris (hydroxymethyl) -aminomethane, bicine, tricine, malic acid, lactic acid, succinate, maleic acid, fumaric acid, tartaric acid, aspartic acid, or mixtures thereof. Each such specific buffer constitutes an alternative embodiment of the invention.

  In another embodiment of the invention, the formulation further comprises a pharmaceutically acceptable preservative. In yet another embodiment of the invention, the formulation further comprises an isotonic agent, such as propylene glycol, mannitol, or glycerol. In yet another embodiment of the invention, the formulation further comprises a chelating agent.

  In another embodiment of the invention, the formulation further comprises a stabilizer. The use of stabilizers in pharmaceutical compositions is well known to those skilled in the art. For convenience, Remington: The Science and Practice of Pharmacy, 19th edition, 1995 is cited as a reference.

  Aggregate formation by a polypeptide during storage of a liquid pharmaceutical composition can adversely affect the biological activity of the polypeptide and, as a result, impair the therapeutic efficiency of the pharmaceutical composition. In addition, aggregate formation can cause other problems such as tube, membrane, or pump blockage when administering polypeptide-containing pharmaceutical compositions using an infusion system.

  The composition of the invention is a stabilized liquid pharmaceutical composition, wherein the therapeutically active ingredient comprises a polypeptide that may exhibit aggregate formation in a liquid pharmaceutical formulation during storage.

  By “aggregate formation” is meant a physical interaction between polypeptide molecules that results in oligomer formation, which may remain soluble, or between large visible aggregates that precipitate from solution.

  “In storage” means that a liquid pharmaceutical composition or formulation once prepared is not immediately administered to a subject. Rather, such pharmaceutical compositions or formulations are packaged for storage, either after preparation, in liquid form, in a frozen state, or in a dry form that is later reconstituted into liquid form, or other form suitable for administration to a subject. Is done.

  The pharmaceutical composition of the present invention may further comprise an amount of an amino acid base sufficient to reduce aggregate formation by the polypeptide during storage of the composition.

  "Amino acid base" means an amino acid or combination of amino acids when any given amino acid is present in either its free base form or its salt form. When using a combination of amino acids, all of the amino acids may be present in its free base form, all may be present in its salt form, or some may be present in its free base form, others May be present in its salt form. In one embodiment, the amino acid used in the preparation of the composition of the present invention is one having a charged side chain, such as arginine, lysine, aspartic acid, glutamic acid. Any stereoisomer of a particular amino acid (e.g., methionine, histidine, imidazole, arginine, lysine, isoleucine, aspartic acid, tryptophan, threonine, and mixtures thereof) (i.e., L, D, or a mixture thereof) or Stereoisomeric combinations may be present in the pharmaceutical composition of the invention as long as the particular amino acid is present in either its free base form or its salt form. In one embodiment, the L-stereoisomer is used. The composition of the present invention may be formulated using such amino acid derivatives. Suitable arginine derivatives include, for example, aminoguanidine, ornithine, and N-monoethyl L-arginine, suitable methionine derivatives include ethionine and buthionine, and suitable cysteine derivatives include S-methyl- L-cysteine is mentioned. Like other amino acids, the amino acid derivative is incorporated into the composition either in its free base form or in its salt form. In another embodiment of the invention, the amino acid or amino acid derivative thereof is used at a concentration sufficient to prevent or delay protein aggregation.

  In another embodiment of the invention, the formulation further comprises a surfactant. In another embodiment of the invention, the formulation further comprises a protease inhibitor. The use of a protease inhibitor is particularly useful for inhibiting autocatalysis in pharmaceutical compositions containing a protease zymogen.

  It is also contemplated that other ingredients may be present in the polypeptide pharmaceutical formulation of the present invention. Such additional ingredients include wetting agents, emulsifiers, antioxidants, bulking agents, tonicity modifiers, chelating agents, metal ions, oily excipients, proteins (e.g. human serum albumin, gelatin, Or proteins), and zwitterions (eg, amino acids such as betaine, taurine, arginine, glycine, lysine, histidine). Such additional ingredients should of course not adversely affect the overall stability of the pharmaceutical formulation of the present invention.

  A pharmaceutical composition containing a polypeptide according to the present invention can be applied to a patient in need of such treatment at several sites, for example local sites, for example skin and mucosal sites, sites not through absorption, for example Administration can be at intraarterial, intravenous, intracardiac administration, and at sites including absorption, eg, intradermal, subcutaneous, intramuscular, or intraperitoneal administration.

  Administration of the pharmaceutical composition according to the present invention can be administered to a patient in need of such treatment in several routes of administration, for example lingual, sublingual, buccal, buccal, oral, gastrointestinal, nasal, pulmonary, etc. May be via the bronchiole and alveoli or combinations thereof, epidermis, dermis, transdermal, vaginal, rectal, ocular, eg via the conjunctiva, ureter, and parenteral.

  The composition of the present invention can be in several dosage forms, for example, solutions, suspensions, emulsions, microemulsions, multiple emulsions, foams, salves, plaster Agents, plasters, ointments, tablets, coated tablets, rinses, capsules, for example, hard gelatin capsules and soft gelatin capsules, suppositories, rectal capsules, drops, gels, sprays, Powders, aerosols, inhalants, eye drops, eye ointments, ophthalmic rinses, vaginal suppositories, vaginal rings, vaginal ointments, injection solutions, in situ transforming solutions ), Eg, gelled in situ, solidified in situ, precipitated in situ, crystallized in situ, infusion solutions, and implants.

  The composition of the present invention further enhances the stability of its amylin analog derivatives, improves bioavailability, increases solubility, reduces adverse effects, and is well known to those skilled in the art. For the purpose of realizing treatment, increasing patient compliance, or any combination of these, for example by covalent, hydrophobic, and electrostatic interactions, drug carriers, drug delivery systems, and advanced drugs The delivery system may be further combined or tied.

  The composition of the invention administers derivatives of amylin analogs pulmonary using, for example, metered dose inhalers, dry powder inhalers, and nebulizers, all devices well known to those skilled in the art. In solid, semi-solid, powder, and solution formulations.

  The compositions of the present invention are useful in the formulation of controlled, sustained, extended, delayed, and slow release drug delivery systems.

  Parenteral administration can be performed by subcutaneous, intramuscular, intraperitoneal, or intravenous injection with a syringe, optionally a pen-type syringe. Alternatively, parenteral administration can be performed by an infusion pump. Yet another option is a composition that may be a solution or a suspension for administering a derivative of an amylin analog in the form of a nasal or pulmonary spray. As yet another option, a pharmaceutical composition containing a polypeptide of the invention can be administered, for example, by needleless injection or transdermally from a patch, optionally an iontophoretic patch, or transmucosally, eg buccal. Can also be adapted.

  The polypeptides of the present invention may be administered by the pulmonary route in a vehicle, as a solution, suspension, or dry powder, using any known type of device suitable for pulmonary drug delivery. it can. Examples of such devices include, but are not limited to, three common types of aerosol generation for pulmonary drug delivery, including jet or ultrasonic nebulizers, metered dose inhalers, or dry powder inhalers. (See Yu J, Chien YW. Pulmonary drug delivery: Physiologic and mechanistic aspects. Crit Rev Ther Drug Carr Sys 14 (4) (1997) 395-453).

  In one embodiment of the invention, the pharmaceutical formulation comprising the polypeptide of the invention is stable for more than 6 weeks of usage and for more than 3 years of storage.

  In another embodiment of the invention, the pharmaceutical formulation comprising the polypeptide of the invention is stable for more than 4 weeks of usage and for more than 3 years of storage.

  In another embodiment of the invention, the pharmaceutical formulation comprising a derivative of the amylin analog is stable for more than 4 weeks of usage and for more than 2 years of storage.

  In another embodiment of the invention, a pharmaceutical formulation comprising a derivative of an amylin analog is stable for more than 2 weeks of usage and for more than 2 years of storage.

  In one aspect, the process for preparing a pharmaceutical composition comprising a derivative according to the invention comprises the step of mixing the derivative according to the invention with at least one pharmaceutically acceptable additive.

Therapeutic indications In one aspect, the polypeptides according to the invention can be used as medicaments.

  In one aspect, the polypeptide according to the invention comprises hyperglycemia, type 2 diabetes, impaired glucose tolerance, type 1 diabetes, obesity, hypertension, syndrome X, dyslipidaemia, cognitive impairment, atherosclerosis, myocardial infarction, coronary artery It can be used as a medicament for treating or preventing heart disease and other cardiovascular disorders, stroke, inflammatory bowel syndrome, dyspepsia and gastric ulcer.

  In one aspect, the polypeptide is for use in delaying or preventing disease progression in type 2 diabetes.

  In one aspect, the polypeptide according to the invention can be used as a medicament for treating or preventing obesity.

  In one aspect, the polypeptides according to the present invention can be used as a medicament for treating or preventing hypercalcemia, osteoporosis, or osteoarthritis. In one aspect, the polypeptide can be used as a medicament for reducing body weight. In one aspect, the polypeptide can be used as a medicament for treating or preventing obesity or as a medicament for preventing weight gain. In one aspect, the polypeptide can be used as a medicament to modify food intake, such as reducing food intake.

  In one aspect, the medicament can be used to reduce food intake, reduce beta cell apoptosis, increase beta cell function and beta cell mass, and / or restore beta cell glucose sensitivity.

  In one aspect, the polypeptides according to the invention can be used for the preparation of a medicament.

  In one aspect, the polypeptide comprises hyperglycemia, type 2 diabetes, impaired glucose tolerance, type 1 diabetes, obesity, hypertension, syndrome X, dyslipidemia, cognitive impairment, atherosclerosis, myocardial infarction, coronary heart disease and It can be used in the preparation of a medicament for treating or preventing other cardiovascular disorders, strokes, inflammatory bowel syndrome, dyspepsia and gastric ulcers.

  In one aspect, the polypeptide can be used in the preparation of a medicament for delaying or preventing disease progression in type 2 diabetes.

  In one aspect, the polypeptide is used in the preparation of a medicament for reducing food intake, reducing beta cell apoptosis, increasing beta cell function and beta cell mass, and / or restoring beta cell glucose sensitivity. be able to.

Treatment with a polypeptide according to the present invention includes, for example, anti-diabetic drugs, anti-obesity drugs, appetite regulating drugs, antihypertensive drugs, drugs for treating and / or preventing complications resulting from or associated with diabetes, As well as a second or more pharmacologically active agent selected from agents for treating and / or preventing complications and disorders resulting from or associated with obesity. Examples of such pharmacologically active substances are insulin, insulin derivatives, insulin analogs, GLP-1, GLP-1 derivatives, GLP-1 analogs, oxyntomodulin derivatives, sulfonylureas, biguanides, meglitinides, glucosidase inhibitors, glucagon antagonists As inhibitors of DPP-IV (dipeptidyl peptidase IV), inhibitors of liver enzymes involved in the stimulation of gluconeogenesis and / or glycogenolysis, glucose uptake modulators, compounds that modify lipid metabolism, eg as HMG CoA inhibitors Antihyperlipidemic drugs (statins), RXR agonists and drugs that act on ATP-dependent potassium channels in beta cells; cholestyramine, colestipol, clofibrate, gemfibrozil, lovastatin, pravastatin, simvastatin, probucol, dextrothyroxine, neteglini (neteglinide), repaglinide; β-blockers such as alprenolol, atenolol, timolol, pindolol, propranolol, and metoprolol, ACE (angiotensin converting enzyme) inhibitors such as benazepril, captopril, enalapril, fosinopril, lisinopril, alatrio Pril (alatriopril), quinapril, and ramipril, calcium channel blockers such as nifedipine, felodipine, nicardipine, isradipine, nimodipine, diltiazem, and verapamil, and alpha blockers such as doxazosin, urapidil, prazosin, and terazosin; CART Cocaine amphetamine-regulated transcript) agonist, NPY (neuropeptide Y) antagonist, MC4 (melanocortin 4) agonist, orexin antago Strike, TNF (tumor necrosis factor) agonists, CRF (corticotropin releasing factor) agonists, CRF BP (corticotropin releasing factor binding protein) antagonists, urocortin agonists, beta
3 agonists, MSH (melanocyte stimulating hormone) agonists, MCH (melanocyte-concentrating hormone) antagonists, CCK (cholecystokinin) agonists, serotonin reuptake inhibitors, serotonin and noradrenaline reuptake inhibitors, mixed serotonin and noradrenergic Compound, 5HT (serotonin) agonist, bombesin agonist, galanin antagonist, growth hormone, growth hormone releasing compound, TRH (thyrotropin releasing hormone) agonist, UCP2 or 3 (uncoupled protein 2 or 3) modulator, leptin agonist, DA agonist (bromocriptine , Doprexin), lipase / amylase inhibitors, RXR (retinoid X receptor) modulators, TRβ agonists; histamine H3 antagonists, gastrin and gastrin analogs.

  Any suitable combination of a polypeptide according to the present invention with one or more of the above-mentioned compounds and optionally with one or more other pharmacologically active substances is considered to be within the scope of the present invention. Should be understood.

The invention is further summarized in the following paragraphs.
1. A polypeptide selected from:
(i) a polypeptide comprising an amino acid sequence that is an analog of SEQ ID NO: 2,
The analog comprises a proline residue at position 37;
The numbering of the amino acid sequence of the analog corresponds to the amino acid numbering sequence of SEQ ID NO: 2,
A polypeptide optionally having at least one substituent attached to at least one of its amino acid residues.
(ii) a polypeptide comprising an amino acid sequence that is an analog of SEQ ID NO: 2,
(a) the analog comprises a proline residue at position 37;
The numbering of the amino acid sequence of the analog corresponds to the amino acid numbering sequence of SEQ ID NO: 2,
(b) the polypeptide has a solubility at pH 4 of about 100 μM or more;
A polypeptide optionally having at least one substituent attached to at least one of its amino acid residues.
(iii) a polypeptide comprising an amino acid sequence that is an analog of SEQ ID NO: 2,
(a) the analog comprises a proline residue at position 37;
The numbering of the amino acid sequence of the analog corresponds to the amino acid numbering sequence of SEQ ID NO: 2,
(b) the polypeptide has a solubility of about 100 μM or more at pH 7,
A polypeptide optionally having at least one substituent attached to at least one of its amino acid residues.
(iv) a polypeptide comprising an amino acid sequence that is an analog of SEQ ID NO: 2,
(a) the analog comprises a proline residue at position 37;
The numbering of the amino acid sequence of the analog corresponds to the amino acid numbering sequence of SEQ ID NO: 2,
(b) the polypeptide has a solubility at pH 4 of about 100 μM or more;
(c) the polypeptide has a solubility at pH 7 of about 100 μM or more,
A polypeptide optionally having at least one substituent attached to at least one of its amino acid residues.
(v) a polypeptide comprising an amino acid sequence that is an analog of SEQ ID NO: 2,
(a) the analog comprises a proline residue at position 37;
The numbering of the amino acid sequence of the analog corresponds to the amino acid numbering sequence of SEQ ID NO: 2,
(b) the polypeptide has a solubility at pH 4 of about 100 μM or more;
(c) the polypeptide has a solubility at pH 7 of about 100 μM or more,
(d) the polypeptide has a physical stability of about 25 hours or more in a fibrillogenesis assay;
A polypeptide optionally having at least one substituent attached to at least one of its amino acid residues.
2. The polypeptide of paragraph 1, wherein the analog comprises a residue at position 14 that is individually selected from either asparagine and glutamic acid, preferably glutamic acid.
3. Said analogue comprises a residue at position 17, which is individually selected from any one of histidine, arginine, lysine and valine, preferably histidine and arginine, more preferably arginine 3. The polypeptide according to any one of 2.
4.The analog is one of histidine, arginine, lysine, aspartic acid, glutamic acid, asparagine, and glutamine, preferably histidine, asparagine, glutamine, and glutamic acid, more preferably any one of histidine, glutamine, and asparagine. A polypeptide according to any of the preceding paragraphs comprising a residue at position 35 that is individually selected from and more preferably asparagine.
5. Said analog is deleted or individually from any one of alanine, cysteine, glutamic acid, glycine, histidine, arginine, serine and lysine, preferably glycine, histidine, arginine and lysine A polypeptide according to any of the preceding paragraphs comprising a residue at position 1, which is selected and more preferably lysine.
6. The analogue according to any of the preceding paragraphs, wherein the analogue comprises a residue at position 3 which is individually selected from any one of glycine, histidine, arginine, serine and asparagine, preferably asparagine. Polypeptide.
7. The polypeptide according to any of the preceding paragraphs, wherein the analogue comprises a residue at position 18, which is individually selected from any one of arginine, lysine and histidine, preferably histidine.
8. The analog comprises a residue at position 21 that is individually selected from any one of alanine, lysine, glutamine, serine, threonine, and asparagine, preferably glutamine and asparagine, more preferably asparagine. A polypeptide according to any of the preceding paragraphs.
9. Said analogue comprising a residue at position 22, which is individually selected from any one of glutamic acid, glutamine, serine, threonine and asparagine, preferably serine and asparagine, more preferably asparagine. The polypeptide according to any of the paragraphs.
10. The polypeptide according to any of the preceding paragraphs, wherein the analogue comprises a residue at position 26 which is individually selected from any one of proline, arginine and isoleucine, preferably asparagine.
11. Said analogue comprising a residue at position 31 which is individually selected from any one of serine, glutamic acid, aspartic acid and asparagine, preferably aspartic acid and asparagine, more preferably asparagine. The polypeptide according to any of the paragraphs.
12. The polypeptide of any preceding paragraph, wherein the analog comprises an amino acid residue at position 14 that is glutamic acid, a residue at position 17 that is arginine, and a residue at position 37 that is proline.
13. The polypeptide of paragraphs 1-11, wherein the analog comprises an amino acid residue at position 14 that is glutamic acid, a residue at position 17 that is histidine, and a residue at position 37 that is proline.
14. Paragraphs 1-11, wherein the analog comprises an amino acid residue at position 14 that is glutamic acid, a residue at position 17 that is histidine, a residue at position 35 that is glutamine, and a residue at position 37 that is proline. The polypeptide according to 1.
15. The polypeptide of any preceding paragraph, wherein the remaining residues are the same as SEQ ID NO: 2.
16. Analogues are the same as residues 2, 4-16, 19, 20, 23-25, 27-30, 32-34, and 36 of SEQ ID NO: 2, 2, 4-16, 19, 20 The polypeptide of any of the preceding paragraphs comprising amino acid residues at positions 23, 25, 27-30, 32-34, and 36.
17.Formula (I):
Xaa ₁ -Cys-Xaa ₃ -Thr-Ala-Thr-Cys-Ala-Thr-Gln-Arg-Leu-Ala-Xaa ₁₄ -Phe-Leu-Xaa ₁₇ -Xaa ₁₈ -Ser-Ser-Xaa ₂₁ -Xaa ₂₂ -Phe-Gly-Pro-Xaa ₂₆ -Leu-Pro-Pro-Thr-Xaa ₃₁ -Val-Gly-Ser-Xaa ₃₅ -Thr-Pro,
Formula (I) (SEQ ID NO: 3)
Comprising an amino acid sequence that is an analog of SEQ ID NO:
Xaa ₁ is deleted or individually selected from Ala, Cys, Glu, Gly, His, Arg, Ser, and Lys,
Xaa ₃ is individually selected from Gly, His, Arg, Ser, and Asn,
Xaa ₁₄ is individually selected from Glu and Asn,
Xaa ₁₇ is individually selected from His, Arg, Lys, and Val,
Xaa ₁₈ is individually selected from Arg, Lys, and His,
Xaa ₂₁ is individually selected from Ala, Lys, Gln, Ser, and Asn,
Xaa ₂₂ is individually selected from Glu, Gln, Ser, Thr, and Asn,
Xaa ₂₆ is individually selected from Pro, Arg, and Ile,
Xaa ₃₁ is individually selected from Ser, Glu, Asp, and Asn,
Xaa ₃₅ is individually selected from His, Arg, Lys, Asp, Gln, and Glu,
The C-terminus may optionally be derivatized,
The polypeptide of paragraph 1.
18. The polypeptide of paragraph 17, wherein Xaa ₁₄ is Glu.
19. The polypeptide according to any one of paragraphs 17 and 18, wherein Xaa ₁₇ is Arg or His.
20.Xaa ₃₅ is Asn or Gln, polypeptide according to any one of paragraphs 17-19.
21.Xaa ₁ is Lys
Xaa ₃ is Asn,
Xaa ₁₄ is Glu,
Xaa ₁₇ is His or Arg;
Xaa ₁₈ is His,
Xaa ₂₁ is Asn,
Xaa ₂₂ is Asn,
Xaa ₂₆ is Ile,
Xaa ₃₁ is Asn,
Xaa ₃₅ is Asn,
The polypeptide of any one of paragraphs 17-19.
22. Xaa ₁ is deleted or individually selected from His, Arg, and Lys,
Xaa ₃ is individually selected from Gly, His, and Asn,
Xaa ₁₄ is individually selected from Glu and Asn,
Xaa ₁₇ is individually selected from His, Arg, and Val,
Xaa ₁₈ is individually selected from Arg and His,
Xaa ₂₁ is individually selected from Ser and Asn,
Xaa ₂₂ is Asn,
Xaa ₂₆ is Ile,
Xaa ₃₁ is individually selected from Glu and Asn,
Xaa ₃₅ is individually selected from His, Arg, Lys, Asp, Gln, and Glu.
The polypeptide of paragraph 17.
23.Xaa ₁ is deleted or individually selected from Gly, His, Arg, Ser, and Lys,
Xaa ₃ is individually selected from His and Asn,
Xaa ₁₄ is individually selected from Glu and Asn,
Xaa ₁₇ is individually selected from His, Arg, and Val,
Xaa ₁₈ is individually selected from Arg and His,
Xaa ₂₁ is individually selected from Gln, Ser, and Asn,
Xaa ₂₂ is Asn,
Xaa ₂₆ is individually selected from Pro and Ile,
Xaa ₃₁ is Asn,
Xaa ₃₅ is Asn,
The polypeptide according to any of paragraphs 17.
24.Xaa ₁ is deleted or individually selected from Ala, Cys, Glu, Gly, His, Arg, Ser, and Lys,
Xaa ₃ is Asn,
Xaa ₁₄ is Glu,
Xaa ₁₇ is individually selected from His, Arg, and Val,
Xaa ₁₈ is individually selected from Arg, Lys, and His,
Xaa ₂₁ is individually selected from Gln and Asn,
Xaa ₂₂ is individually selected from Thr and Asn,
Xaa ₂₆ is Ile,
Xaa ₃₁ is Asn,
Xaa ₃₅ is individually selected from Gln, Gly, and Asn,
The polypeptide of paragraph 17.
25.Xaa ₁ is missing,
Xaa ₃ is individually selected from Gly and Asn,
Xaa ₁₄ is Glu,
Xaa ₁₇ is individually selected from His, Arg, and Val,
Xaa ₁₈ is individually selected from Arg and His,
Xaa ₂₁ is individually selected from Gln and Asn,
Xaa ₂₂ is individually selected from Gln and Asn,
Xaa ₂₆ is Ile,
Xaa ₃₁ is individually selected from Glu and Asn,
Xaa ₃₅ is individually selected from Asn, Gln, and Glu,
The polypeptide according to any of paragraphs 17.
26.Xaa ₁ is Lys
Xaa ₃ is Asn,
Xaa ₁₄ is Glu,
Xaa ₁₇ is individually selected from His, Lys, Arg, and Val,
Xaa ₁₈ is individually selected from Arg and His,
Xaa ₂₁ is individually selected from Ala, Lys, Gln, and Ser,
Xaa ₂₂ is individually selected from Glu, Gln, Ser, Thr, and Asn,
Xaa ₂₆ is individually selected from Pro and Ile,
Xaa ₃₁ is individually selected from Ser, Glu, Asp, and Asn,
Xaa ₃₅ is individually selected from Gln, Glu, and Asn,
The polypeptide of paragraph 17.
27. The polypeptide of any one of the preceding paragraphs comprising a C-terminal amide.
28.C-terminal amide is of formula (II):
(II) C (O) NR ¹ R ²
The polypeptide according to paragraph 27, wherein R ¹ and R ² are independently selected from H and alkyl. R ¹ and R ² are preferably both H.
29. The polypeptide according to paragraph 28, wherein R ¹ and R ² are both H.
30. The polypeptide of any one of the preceding paragraphs, wherein at least one substituent is attached to one of the amino acid residues.
31. The polypeptide according to paragraph 30, wherein the substituent is selected from a hydrocarbyl group, a hydroxyl group, and a halogen atom.
32.Substituent is the formula (II):
(II) L _n -Y
[Where
L is a linker,
n = 0 or 1,
The polypeptide of any one of paragraphs 30 and 31, wherein Y is an albumin binding moiety.
33.The albumin binding moiety is
(a) CH ₃ (CH ₂ ) _r CO— [wherein r is an integer of 12 to 20],
(b) HOOC (CH ₂ ) _s CO- [wherein s is an integer from 12 to 22, or s is an integer from 12 to 18, or s is from 16 to 18, or preferably S is 18]
The polypeptide according to paragraph 32, which is an acyl group selected from:
34.Linker is γGlu, γGlu-γGlu, γGlu-γGlu-γGlu, γGlu-γGlu-γGlu-γGlu, Glu, Glu-Glu, Glu-γGlu, Glu-Arg, Glu-Glu-Arg, His, His-His , His-γGlu, His-His-γGlu, Gly, Gly-γGlu, Ser, Ser-γGlu, D-Arg-D-Arg, Arg, Arg-Arg, Arg-Arg-γGlu, Ser-Ser-Gly-Ser -Ser, Ser-Ser-Gly-Ser-Ser-γGlu, Ser-Ser-Gly-Ser-Ser-Gly and Ser-Ser-Gly-Ser-Ser-Gly-γGlu, γGlu-OEG, γGlu-OEG-OEG And preferably the linker is selected from γGlu, γGlu-γGlu, γGlu-OEG, γGlu-OEG-OEG, and OEG, more preferably the linker is γGlu, paragraphs 32 and 34. The polypeptide according to any one of 33.
35. The polypeptide according to any of the preceding paragraphs, wherein the substituent is selected from the groups shown in Table 1 (shown above).
36. The polypeptide according to any one of the preceding paragraphs, wherein the substituent is bonded to the α-amino group of the N-terminal amino acid residue or the Lys residue.
37. The polypeptide according to any of the preceding paragraphs, wherein the substituent is attached only to the amino acid residue at position 1.
38. From the group consisting of any of the polypeptides shown in Table 2 (shown above) or from any of the polypeptides shown in Table 3 (shown above) Either from the group or from the group consisting of any of the polypeptides shown in Table 4 (shown above) or from the group shown in Table 5 (shown above) From the group consisting of or from the group consisting of any of the polypeptides shown in Table 6 (shown above) or in the polypeptide shown in Table 7 (shown above) Either from the group consisting of or from the group consisting of any of the polypeptides shown in Table 8 (shown above), or from the group shown in Table 9 (shown above) From the group consisting of any of the peptides or from the group consisting of any of the polypeptides shown in Table 10 (shown below) or Table 11 (shown below) 11) from the group consisting of any of the polypeptides shown in Table 12 (shown later) or from the group consisting of any of the polypeptides shown in Table 12 (shown later) From the group consisting of any of the polypeptides shown in Table 15 (shown later) or from the group consisting of any of the polypeptides shown in Table 14 (shown below) or shown in Table 15 (shown below) A polypeptide according to any of the preceding paragraphs selected from the group consisting of any of the above polypeptides.
39. The polypeptide of any of the preceding paragraphs selected from the group consisting of any of the polypeptides shown in Table 8 (shown above).
40. The polypeptide of any of the preceding paragraphs selected from the group consisting of any of the polypeptides shown in Table 9 (shown above).
41. N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg17, Pro37] -pramlintide [Example 53], any of the foregoing The polypeptide of paragraph.
42. A pharmaceutical composition comprising the polypeptide of any of the preceding paragraphs and a pharmaceutically acceptable additive.
43. The pharmaceutical composition according to paragraph 42, suitable for parenteral administration.
44. A method for preparing a pharmaceutical composition according to paragraph 42 or paragraph 43, comprising the step of mixing the polypeptide according to any of the preceding paragraphs with at least one pharmaceutically acceptable additive.
45. A polypeptide according to any of the preceding paragraphs for use as a medicament.
46. Hyperglycemia, type 2 diabetes, impaired glucose tolerance, type 1 diabetes, obesity, hypertension, syndrome X, dyslipidemia, cognitive impairment, atherosclerosis, myocardial infarction, coronary heart disease and other cardiovascular disorders, The polypeptide according to any one of the preceding paragraphs for use in the treatment or prevention of stroke, inflammatory bowel syndrome, dyspepsia, and gastric ulcer.
A polypeptide according to any one of the preceding paragraphs for use in slowing or preventing disease progression in type 47.2 diabetes.
48. A polypeptide according to any one of the preceding paragraphs for use in the prevention or treatment of obesity.
49. In any one of the preceding paragraphs for use in reducing food intake, reducing β-cell apoptosis, increasing β-cell function and β-cell mass, and / or restoring β-cell glucose sensitivity The described polypeptide.
50. The polypeptide of any one of the preceding paragraphs for use in the treatment or prevention of hypercalcemia, osteoporosis, or osteoarthritis.
51. Hyperglycemia, type 2 diabetes, impaired glucose tolerance, type 1 diabetes, obesity, hypertension, syndrome X, dyslipidemia, cognitive impairment by administering to the animal the polypeptide of any of the preceding paragraphs, A method of treating or preventing atherosclerosis, myocardial infarction, coronary heart disease and other cardiovascular disorders, stroke, inflammatory bowel syndrome, dyspepsia, and gastric ulcer.
52. A method of delaying or preventing the progression of disease in type 2 diabetes by administering to the animal the polypeptide of any of the preceding paragraphs.
53. Reducing food intake, reducing β-cell apoptosis, increasing β-cell function and β-cell mass, and / or of β-cells by administering to an animal a polypeptide according to any of the preceding paragraphs A method to restore glucose sensitivity.
54. A method for treating or preventing hypercalcemia, osteoporosis, or osteoarthritis by administering the polypeptide of any of the preceding paragraphs to an animal.
55. The polypeptide of any one of the preceding paragraphs, wherein the polypeptide has an EC ₅₀ of about 1800 pM or less at the human amylin receptor.
56. The polypeptide of any one of the preceding paragraphs, wherein the polypeptide has an EC ₅₀ of about 1800 pM or less at the human calcitonin receptor.

The invention is further summarized in the following further paragraphs.
1. Similar to amylin, with modifications up to 10 amino acid residues as compared to SEQ ID NO: 2, with a substituent attached to the α-amino group of the N-terminal amino acid residue or the Lys residue in the amylin analog And the substituent comprises an albumin binding moiety;
the amino acid residue at position 14 of the amylin analog is Glu, or
b. the amino acid residue at position 35 of the amylin analog is His, Arg, Lys, Asp or Glu, or
c. the amino acid residue at position 37 of the amylin analog is Pro,
A derivative of amylin.
2. The derivative of paragraph 1, wherein the amino acid residue at position 14 is Glu.
3.
the amino acid residue at position 14 is Glu and the amino acid at position 35 is His, Arg, Lys, Asp or Glu; or
b. the amino acid residue at position 14 is Glu, the amino acid at position 37 is Pro,
The derivative according to paragraphs 1-2.
Four.
a. the amino acid residue at position 14 is Glu and the amino acid at position 35 is His;
Derivatives according to paragraphs 1-3.
5. The derivative according to paragraphs 1 to 4, wherein the amino acid residue at position 17 is His.
6. The derivative of paragraphs 1-5, wherein the amylin analog comprises 1, 2, 3, 4, 5 or 6 substitutions.
7. The derivative of paragraphs 1-6, wherein the amino acid at position 1 of the amylin analog is substituted or deleted.
The derivative according to paragraphs 1-7, wherein the amino acid at position 8.1 is selected from the group consisting of Lys, Glu, Arg, Ala, Ser, Cys, Gly, and His.
9. The derivative according to paragraphs 1-8, wherein the substituent comprises a linker.
10. The derivative of paragraphs 1-9, wherein the linker comprises 1-10 amino acids attached to the α-amino group of the N-terminal amino acid residue or a Lys residue in the amylin analog.
11.Amino acids are γGlu, γGlu-γGlu, γGlu-γGlu-γGlu, γGlu-γGlu-γGlu-γGlu, Glu, Glu-Glu, Glu-γGlu, Glu-Arg, Glu-Glu-Arg, His, His-His , His-γGlu, His-His-γGlu, Gly, Gly-γGlu, Ser, Ser-γGlu, D-Arg-D-Arg, Arg, Arg-Arg, Arg-Arg-γGlu, Ser-Ser-Gly-Ser Paragraph 10 selected from the group consisting of -Ser, Ser-Ser-Gly-Ser-Ser-γGlu, Ser-Ser-Gly-Ser-Ser-Gly and Ser-Ser-Gly-Ser-Ser-Gly-γGlu Derivatives described in 1.
12.Linker is -C (O)-(CH ₂ ) _l -O- [CH ₂ CH ₂ -O] _m- (CH ₂ ) _p- [NHC (O)-(CH ₂ ) _l -O- [ (CH ₂ ) _n -O] _m- (CH ₂ ) _p ] _q -NH- [wherein l, m, n and p are individually 1 to 7 and q is 0 to 5] The derivative according to paragraphs 1 to 11, wherein
13.The linker is -C (O) -CH ₂ -O-CH ₂ -CH ₂ -O-CH ₂ -CH ₂ -NH- or -C (O) -CH ₂ -O-CH ₂ -CH _2- O-CH ₂ -CH _2- [NHC (O) -CH ₂ -O-CH ₂ -CH ₂ -O-CH ₂ -CH _2- ] ₁ -NH- and -C (O)-(CH ₂ ) _{2 -O- [CH 2 CH 2 -O]} 7 - (CH 2) are those selected from the group consisting of ₂ -NH-, derivative according to paragraph 12.
14.Linker is γGlu-C (O) -CH ₂ -O-CH ₂ -CH ₂ -O-CH ₂ -CH _2- [NHC (O) -CH ₂ -O-CH ₂ -CH ₂ -O- CH ₂ -CH _2- ] ₁ -NH- and Arg-Arg-γGlu-C (O) -CH ₂ -O-CH ₂ -CH ₂ -O-CH ₂ -CH _2- [NHC (O) -CH ₂ 14. The derivative according to paragraphs 1 to 13, which is selected from the group consisting of —O—CH ₂ —CH ₂ —O—CH ₂ —CH ₂ —] ₁ —NH—.
15. albumin binding _{residue, HOOC (CH 2) s CO-} [ wherein, s is an integer of 14 to 20, for example, 16 or 18 which is] an acyl group selected from the group consisting of paragraphs The derivative according to any one of 1 to 14.
16. comprising a γGlu linker attached to the N-terminus of the amylin analog, and HOOC (CH ₂ ) ₁₈ CO or HOOC (CH ₂ ) ₁₆ CO- as the albumin binding residue, wherein the sequence of the amylin analog is
a.14th place Glu
b. His or Arg at 17th place
c.His 35th or Pro 37th
16. The derivative according to paragraphs 1 to 15, comprising
17. The amylin analog has the amino acid sequence of Formula 1:
_{Xaa 1 -Cys-Xaa 3 -Thr-} Ala-Thr-Cys-Ala-Thr-Gln-Arg-Leu-Ala-Glu-Phe-Leu-Xaa 17 -Xaa 18 -Ser-Ser-Xaa 21 -Xaa 22 - Phe-Gly-Pro-Xaa ₂₆ -Leu-Pro-Pro-Thr-Xaa ₃₁ -Val-Gly-Ser-Xaa ₃₅ -Thr-Xaa ₃₇ Formula (1) (SEQ ID NO: 3)
[Where
Xaa ₁ is deleted or individually selected from Ala, Cys, Glu, Gly, His, Arg, Ser, and Lys,
Xaa ₃ is individually selected from Gly, His, Arg, Ser, and Asn,
Xaa ₁₇ is individually selected from His, Arg, Lys, and Val,
Xaa ₁₈ is individually selected from Arg, Lys, and His,
Xaa ₂₁ is individually selected from Ala, Lys, Gln, Ser and Asn,
Xaa ₂₂ is individually selected from Glu, Gln, Ser, Thr, and Asn,
Xaa ₂₆ is individually selected from Pro, Arg, and Ile,
Xaa ₃₁ is individually selected from Ser, Glu, Asp, and Asn,
Xaa ₃₅ is individually selected from His, Arg, Lys, Asp, and Glu,
Xaa ₃₇ is individually selected from Pro and Tyr]
The derivative of paragraph 1, wherein the C-terminus is optionally derivatized as an amide.
18.Xaa ₁ is deleted or individually selected from His, Arg, and Lys,
Xaa ₃ is individually selected from Gly, His, and Asn,
Xaa ₁₇ is individually selected from His, Arg, and Val,
Xaa ₁₈ is individually selected from Arg and His,
Xaa ₂₁ is individually selected from Ser and Asn,
Xaa ₂₂ is Asn,
Xaa ₂₆ is Ile,
Xaa ₃₁ is individually selected from Glu and Asn,
Xaa ₃₅ is individually selected from His, Arg, Lys, Asp, and Glu,
The derivative according to paragraphs 1 and 17, wherein Xaa ₃₇ is independently selected from Pro and Tyr.
19. Xaa ₁ is deleted or individually selected from Gly, His, Arg, Ser, and Lys,
Xaa ₃ is individually selected from His and Asn,
Xaa ₁₇ is individually selected from His, Arg, and Val,
Xaa ₁₈ is individually selected from Arg and His,
Xaa ₂₁ is individually selected from Gln, Ser and Asn,
Xaa ₂₂ is Asn,
Xaa ₂₆ is individually selected from Pro and Ile,
Xaa ₃₁ is Asn,
Xaa ₃₅ is His,
The derivative according to paragraphs 1 and 17, wherein Xaa ₃₇ is Tyr.
20. Xaa ₁ is deleted or individually selected from Ala, Cys, Glu, Gly, His, Arg, Ser, and Lys,
Xaa ₃ is Asn,
Xaa ₁₇ is individually selected from His, Arg, and Val,
Xaa ₁₈ is individually selected from Arg, Lys, and His,
Xaa ₂₁ is individually selected from Gln and Asn,
Xaa ₂₂ is individually selected from Thr and Asn,
Xaa ₂₆ is Ile,
Xaa ₃₁ is Asn,
Xaa ₃₅ is individually selected from Gly and Asn,
The derivative according to paragraphs 1 and 17, wherein Xaa ₃₇ is Pro.
21. Xaa ₁ is deleted,
Xaa ₃ is individually selected from Gly and Asn,
Xaa ₁₇ is individually selected from His, Arg, and Val,
Xaa ₁₈ is individually selected from Arg and His,
Xaa ₂₁ is individually selected from Gln and Asn,
Xaa ₂₂ is individually selected from Gln and Asn,
Xaa ₂₆ is Ile,
Xaa ₃₁ is individually selected from Glu and Asn,
Xaa ₃₅ is individually selected from His and Ser,
The derivative according to paragraphs 1 and 17, wherein Xaa ₃₇ is independently selected from Pro and Tyr.
22. Xaa ₁ is Lys
Xaa ₃ is Asn,
Xaa ₁₇ is individually selected from His, Lys, Arg, and Val,
Xaa ₁₈ is individually selected from Arg and His,
Xaa ₂₁ is individually selected from Ala, Lys, Gln, and Ser,
Xaa ₂₂ is individually selected from Glu, Gln, Ser, Thr, and Asn,
Xaa ₂₆ is individually selected from Pro and Ile,
Xaa ₃₁ is individually selected from Ser, Glu, Asp, and Asn,
Xaa ₃₅ is individually selected from His, Glu, and Asn,
The derivative according to paragraphs 1 and 17, wherein Xaa ₃₇ is independently selected from Pro and Tyr.
23. The derivative of paragraphs 1 and 17-22, wherein the albumin binding residue binds to albumin without a covalent bond.
24. The derivative of any of paragraphs 1 and 17-23, wherein the albumin binding residue has a binding affinity for human serum albumin of less than about 10 μM or less than about 1 μM.
25. The derivative of any of paragraphs 1 and 17-24, wherein the albumin binding residue comprises a group that can be negatively charged at pH 7.4.
26. The derivative according to any of paragraphs 1 and 17-25, wherein the albumin binding residue comprises a carboxylic acid group.
27. The albumin binding residue is selected from the group consisting of HOOC (CH ₂ ) _s CO—, where s is an integer from 12 to 22, eg, 17, 18, 19, 20, 21 or 22 The derivative according to any one of paragraphs 1 and 17 to 26, which is an acyl group.
28. The derivative according to paragraphs 1 and 27, wherein s is 16 or 18.
29. The derivative according to paragraphs 1 and 17-28, wherein the substituent comprises a linker.
30. The derivative of paragraphs 1 and 17-29, wherein the linker comprises 1-10 amino acids attached to the α-amino group of the N-terminal amino acid residue or the Lys residue of the amylin analog.
31. The amino acid is selected from the group consisting of the derivative of paragraph 10, and the amino acid is γGlu, γGlu-γGlu, γGlu-γGlu-γGlu, γGlu-γGlu-γGlu-γGlu, Glu, Glu-Glu, Glu-γGlu , Glu-Arg, Glu-Glu-Arg, His, His-His, His-γGlu, His-His-γGlu, Gly, Gly-γGlu, Ser, Ser-γGlu, D-Arg-D-Arg, Arg, Arg -Arg, Arg-Arg-γGlu, Ser-Ser-Gly-Ser-Ser, Ser-Ser-Gly-Ser-Ser-γGlu, Ser-Ser-Gly-Ser-Ser-Gly and Ser-Ser-Gly-Ser A derivative according to paragraph 1 and paragraphs 17 to 30, which is selected from the group consisting of -Ser-Gly-γGlu.
32. The derivative according to paragraphs 1 and 17-31, wherein the linker comprises γGlu.
33. The linker is -C (O)-(CH ₂ ) _l -O- [CH ₂ CH ₂ -O] _m- (CH ₂ ) _p- [NHC (O)-(CH ₂ ) _l -O- [ (CH ₂ ) _n -O] _m- (CH ₂ ) _p ] _q -NH- [wherein l, m, n, and p are individually 1 to 7 and q is 0 to 5 The derivative according to paragraph 1 and paragraphs 17 to 32, wherein
34.The linker is -C (O) -CH ₂ -O-CH ₂ -CH ₂ -O-CH ₂ -CH ₂ -NH- or -C (O) -CH ₂ -O-CH ₂ -CH _2- O-CH ₂ -CH _2- [NHC (O) -CH ₂ -O-CH ₂ -CH ₂ -O-CH ₂ -CH _2- ] ₁ -NH- and -C (O)-(CH ₂ ) ₂ The derivative according to paragraphs 1 and 17 to 33, which is selected from the group consisting of —O— [CH ₂ CH ₂ —O] ₇ — (CH ₂ ) ₂ —NH—.
35.Linker is γGlu-C (O) -CH ₂ -O-CH ₂ -CH ₂ -O-CH ₂ -CH _2- [NHC (O) -CH ₂ -O-CH ₂ -CH ₂ -O- CH ₂ -CH _2- ] ₁ -NH- and Arg-Arg-γGlu-C (O) -CH ₂ -O-CH ₂ -CH ₂ -O-CH ₂ -CH _2- [NHC (O) -CH ₂ The derivative according to paragraph 1 and paragraphs 17 to 34, wherein the derivative is selected from the group consisting of —O—CH ₂ —CH ₂ —O—CH ₂ —CH ₂ —] ₁ —NH—.
36.Linker is γGlu-γGlu-γGlu-γGlu-C (O) -CH ₂ -O-CH ₂ -CH ₂ -O-CH ₂ -CH _2- [NHC (O) -CH ₂ -O-CH _{2 -CH 2 -O-CH 2 -CH 2} -] 1 is -NH-, derivative according to paragraph 1 and paragraph 17 to 28.
37. N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, His17, Arg18] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu8, Glu14, His17, Arg18] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[des1, Gly3, Glu14, His17, Arg18, Glu31, Gly35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[des1, Gly3, Glu14, His17, Arg18, Gln21, Gln22, Glu31, Gly35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu1, Glu14, His17, Arg18] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, His17, Arg18, Ala25, Pro26, Ser28, Ser29] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, His17, Arg18, Glu25, Ser28, Arg29] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, His17, Arg18, Glu22, Ala25, Arg26, Ser28, Ser29] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, His17, Arg18, Ser21, Ser22, Asp31, Asp35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu1, Glu14, His17, Arg18, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, Glu14, Arg17] -pramlintide,
N-ε21- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Arg1, Glu14, His17, Arg18, Lys21] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, Arg18] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Gly3, Glu14, His17, Arg18, Ser21, Ser22, Glu31, Glu35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His- [His1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, Glu14, His17, Ala25, Pro26, Ser28, Ser29] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, Glu14] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, Glu14, His17, Arg35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, Arg3, Glu14, His17] -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[His1, Glu14, His17, Arg18, Ala19, Thr20, Gln21, Glu22, Leu23] -pramlintide
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu1, Gly3, Glu14, Arg18, Ser21, Ser22, Ala25, Pro26, Ser28, Ser29, Glu31, Arg35] -Pramlintide
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu- [Arg1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu- [Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[des1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu1, Glu14, His17, Arg18] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, His3, Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, His3, Glu14, His17, His29, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, Glu14, His17, His29, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, His3, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, Glu14, His17, His29] -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl] -D-Arg-D-Arg- [Glu14, His17, Arg18] -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl] -D-Arg-D-Arg- [Glu14, His17, Arg18, Ala21, Ser35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Ser-Ser-Gly-Ser-Ser- [Gly1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu- [His1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Glu- [Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl] -Glu- [Glu14, His17] -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[des1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Ser-Ser-Gly-Ser-Ser-Gly- [His1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl] -His-His- [His1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl]-[Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl] -His- [His1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl]-[His1, Glu14, His17] -pramlintide,
N-α-{(S) -4-carboxy-4-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyrylamino] butyryl}-[des1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg17] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl]-[Glu14, Arg17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu10, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu- [Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu- [Glu14, Arg17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl]-[Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl] -Glu- [Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl]-[Glu14, Arg17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl] -Glu- [Glu14, Arg17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, Glu14, His17, Ser21, Glu35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Ala25, Pro26, Ser28, Ser29, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg17, Ala25, Pro26, Ser28, Ser29, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His- [Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His- [Glu14, Arg17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [Glu14, Arg17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl] -His- [Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl] -His- [Glu14, Arg17, His35] -pramlintide,
N-ε25- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, Ser21, Lys25] -pramlintide,
N-ε25- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, His17, Lys25] -pramlintide,
N-ε21- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, His17, Lys21, Glu35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[des1, Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, His17, Arg18, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Arg18, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Arg18] -pramlintide,
N-ε17- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, Lys17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Gly- [Glu14, His17, His35] -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu1, Glu14, His17, Pro37] -pramlintide,
N-ε17- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, Lys17, Ser21, Glu35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, His17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Ser- [Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Pro37] -pramlintide,
N-ε1-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Gly1, Glu14, Arg17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Gly- [His1, Glu14, Arg17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, Arg17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Gly1, Glu14, His17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Gly- [His1, Glu14, His17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His35] -pramlintide,
N-ε1-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl]-[Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Arg1, Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Arg1, Glu14, His17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Arg1, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Arg1, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Gly- [Arg1, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Gly- [Arg1, Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Gly- [Arg1, Glu14, His17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Gly- [Arg1, Glu14, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Gly- [Arg1, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[des1, Glu14, His17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Gly1, Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Ser1, Glu14, His17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Ser1, Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[des1, Glu14, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, Ser21, Ser28, Ser29, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, Arg17, Ser21, Ser28, Ser29, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Arg35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Lys35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, His36] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, His34] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, His32] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Gln21, His35) -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, His17, Ser21, His35] -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[His1, Glu14, His17, Ser21, His35] -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl] -D-Arg-D-Arg- [Orn1, Glu14, His17, Arg18] -pramlintide,
N-α- (19-carboxynonadecanoyl) -Glu-Glu-Arg- [Glu1, Pro37] -pramlintide
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Arg- [Glu1, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Arg- [Glu1, Glu14, His17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Arg- [Glu1, Glu14, Arg17, Pro37] -pramlintide,
N-α- (19-carboxynonadecanoyl) -Glu-Glu-Arg- [Glu1, Glu14, His17, Pro37] -pramlintide,
N-ε25- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, Lys25] -pramlintide,
N-ε21- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, Lys21, Ser29, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Asp21, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu- [Glu14, His17, Gln21, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Gln21, Pro37] -pramlintide,
N-ε21- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, Lys21, Ser28, Ser29, His35] -pramlintide,
N-ε21- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, Lys21, His35] -pramlintide,
N-ε25- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, His17, Ser21, Lys25, Ser28, Ser29.His35] -pramlintide,
N-ε25- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[His17, His21, Lys25, Ser28, Ser29.His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Gln35, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Gln21, Gln35, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Gly1, Glu14, His17, Gln21, Gln35, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu1, Glu14, Gln21, Gln35, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Gln21, Gln35, Pro37] -pramlintide,
N-ε25- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[His17, Lys25, Ser28, Ser29, His35] -pramlintide,
N-ε21- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[His17, Lys21, Ser28, His35] -pramlintide,
N-ε25- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, His17, Lys25, Ser28, Ser29, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, Arg18, Pro37] -pramlintide,
N-ε21- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, His17, Lys21, Ser28, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Lys11, Glu14, His17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Thr21, Pro37] -pramlintide,
N-ε21- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, Lys21, Ser28, Arg29, His35] -pramlintide,
N-ε21- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, His17, Lys21, Ser28, Ser29, His35] -pramlintide,
N-ε1-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Arg- [Glu14, Arg17, His35, Pro37] -pramlintide,
N-ε21- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, Arg18, Lys21, Ser28, Arg29, Arg35] -pramlintide,
N-ε1-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Gln21, Ala25, Pro26, Ser28, Ser29, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Arg14, Arg17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Gly- [Arg1, Glu14, Arg17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Arg17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Glu- [Arg1, Glu14, Arg17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu- [Arg1, Glu14, Arg17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Glu- [Arg1, Glu14, Arg17, Gln21, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Glu- [Arg1, Glu14, Arg17, Gln21, Gln35, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Glu- [Arg1, Glu14, Arg17, Gln21, Gln31, Gln35, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Glu- [Arg1, Glu14, Arg17, Gln21, Gln22, Gln31, Gln35, Pro37] -pramlintide ,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Arg- [Glu1, Glu14, Arg17, Gln21, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Arg- [Glu1, Glu14, Arg17, Gln21, Gln35, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Arg- [Glu1, Glu14, Arg17, Gln21, Gln31, Gln35, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Arg- [Glu1, Glu14, Arg17, Gln21, Gln22, Gln31, Gln35, Pro37] -pramlintide ,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Glu- [Glu1, Glu14, Arg17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg18, Gln21, Ala25, Pro26, Ser28, Ser29, Pro37] -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, His17, Glu21, Pro37] -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, His17, Lys21, Pro37] -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, His17, Ala21, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg18, Ser21, Ser22, Ser28, Ser29, Asp31, Asp35, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Ser21, Ser22, Pro23, Ala25, Pro26, Ser28, Ser29, Asp31, Asp35, Pro37] -Pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg17, Asp21, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg17, Asp35, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg17, Asp31, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg17, Asp22, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Asp3, Glu14, Arg17, Pro37] -pramlintide,
N-ε1-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg17, Pro37] -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino The derivative according to paragraph 1, wherein the derivative is selected from the group consisting of] ethoxy} ethoxy) acetyl]-[Glu14, Ala21, His35, Pro37] -pramlintide.
38. A pharmaceutical composition comprising the derivative according to any one of paragraphs 1 to 37 and a pharmaceutically acceptable additive.
39. The pharmaceutical composition according to paragraph 38, which is suitable for parenteral administration.
40. The derivative according to any one of paragraphs 1-37, for use as a medicament.
41. Hyperglycemia, type 2 diabetes, impaired glucose tolerance, type 1 diabetes, obesity, hypertension, syndrome X, dyslipidemia, cognitive impairment, atherosclerosis, myocardial infarction, coronary heart disease and other cardiovascular disorders, 38. Derivative according to any one of paragraphs 1-37, for use as a medicament for treating or preventing stroke, inflammatory bowel syndrome, dyspepsia and gastric ulcer.
38. Derivative according to any one of paragraphs 1-37, for use as a medicament for slowing or preventing disease progression in type 42.2 diabetes.
43. Any of paragraphs 1-37 for use as a medicament to reduce food intake, reduce beta cell apoptosis, increase beta cell function and beta cell mass, and / or restore beta cell glucose sensitivity The derivative according to one.
44. Use of a derivative according to any one of paragraphs 1-37 for the preparation of a medicament.
45. Hyperglycemia, type 2 diabetes, impaired glucose tolerance, type 1 diabetes, obesity, hypertension, syndrome X, dyslipidemia, cognitive impairment, atherosclerosis, myocardial infarction, coronary heart disease and other cardiovascular disorders, 38. Use of the derivative according to any one of paragraphs 1-37 for the preparation of a medicament for treating or preventing stroke, inflammatory bowel syndrome, dyspepsia and gastric ulcer.
38. Use of the derivative according to any one of paragraphs 1-37 for the preparation of a medicament for slowing or preventing the progression of disease in type 46.2 diabetes.
47. Paragraph 1 for preparing a medicament to treat obesity, reduce food intake, decrease β-cell apoptosis, increase β-cell function and β-cell mass, and / or restore β-cell glucose sensitivity Use of the derivative according to any one of -37.
48. A method for preparing a pharmaceutical composition according to paragraphs 38 and 39, comprising mixing the derivative according to any one of paragraphs 1 to 37 with at least one pharmaceutically acceptable additive.
49. Derivatives of amylin described in the examples.

The invention is further summarized in the following further paragraphs.
1. Similar to amylin, with modifications up to 10 amino acid residues as compared to SEQ ID NO: 2, with a substituent attached to the α-amino group of the N-terminal amino acid residue or the Lys residue in the amylin analog And the substituent comprises an albumin binding moiety;
the amino acid residue at position 14 of the amylin analog is Glu, or
b. the amino acid residue at position 35 of the amylin analog is His, Arg, Lys, Asp or Glu, or
c. the amino acid residue at position 37 of the amylin analog is Pro,
A derivative of amylin.
2. The derivative according to paragraph 1, wherein the amino acid residue at position 14 is Glu.
3.
c. The amino acid residue at position 14 is Glu and the amino acid at position 35 is His, Arg, Lys, Asp or Glu, or
d. the amino acid residue at position 14 is Glu and the amino acid at position 37 is Pro;
The derivative according to paragraphs 1-2.
4. The derivative according to paragraphs 1 to 4, wherein the amino acid residue at position 17 is His.
5. The amylin analog has the amino acid sequence of Formula 1:
_{Xaa 1 -Cys-Xaa 3 -Thr-} Ala-Thr-Cys-Ala-Thr-Gln-Arg-Leu-Ala-Glu-Phe-Leu-Xaa 17 -Xaa 18 -Ser-Ser-Xaa 21 -Xaa 22 - Phe-Gly-Pro-Xaa ₂₆ -Leu-Pro-Pro-Thr-Xaa ₃₁ -Val-Gly-Ser-Xaa ₃₅ -Thr-Xaa ₃₇ Formula (1) (SEQ ID NO: 3)
[Where
Xaa ₁ is deleted or individually selected from Ala, Cys, Glu, Gly, His, Arg, Ser, and Lys,
Xaa ₃ is individually selected from Gly, His, Arg, Ser, and Asn,
Xaa ₁₇ is individually selected from His, Arg, Lys, and Val,
Xaa ₁₈ is individually selected from Arg, Lys, and His,
Xaa ₂₁ is individually selected from Ala, Lys, Gln, Ser, and Asn,
Xaa ₂₂ is individually selected from Glu, Gln, Ser, Thr, and Asn,
Xaa ₂₆ is individually selected from Pro, Arg, and Ile,
Xaa ₃₁ is individually selected from Ser, Glu, Asp, and Asn,
Xaa ₃₅ is individually selected from His, Arg, Lys, Asp, and Glu,
Xaa ₃₇ is individually selected from Pro and Tyr]
The derivative of paragraph 1, wherein the C-terminus is optionally derivatized as an amide.
6. The derivative of paragraphs 1-5, wherein the substituent comprises a linker having 1-10 amino acids attached to the α-amino group of the N-terminal amino acid residue or a Lys residue in an amylin analog .
7. The derivative of paragraphs 1-6, wherein the linker comprises γGlu.
8.Linker is γGlu-C (O) -CH ₂ -O-CH ₂ -CH ₂ -O-CH ₂ -CH _2- [NHC (O) -CH ₂ -O-CH ₂ -CH ₂ -O- CH ₂ -CH _2- ] ₁ -NH- and Arg-Arg-γGlu-C (O) -CH ₂ -O-CH ₂ -CH ₂ -O-CH ₂ -CH _2- [NHC (O) -CH ₂ The derivative according to paragraphs 1 to 7, wherein the derivative is selected from the group consisting of —O—CH ₂ —CH ₂ —O—CH ₂ —CH ₂ —] ₁ —NH—.
9. comprising a γGlu linker attached to the N-terminus of the amylin analog, and HOOC (CH ₂ ) ₁₈ CO or HOOC (CH ₂ ) ₁₆ CO- as the albumin binding residue, wherein the sequence of the amylin analog is
a.14th place Glu
b. His or Arg at 17th place
c.His 35th or Pro 37th
The derivative according to paragraphs 1 to 8, comprising
10. N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, His17, Arg18] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu8, Glu14, His17, Arg18] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[des1, Gly3, Glu14, His17, Arg18, Glu31, Gly35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[des1, Gly3, Glu14, His17, Arg18, Gln21, Gln22, Glu31, Gly35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu1, Glu14, His17, Arg18] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, His17, Arg18, Ala25, Pro26, Ser28, Ser29] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, His17, Arg18, Glu25, Ser28, Arg29] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, His17, Arg18, Glu22, Ala25, Arg26, Ser28, Ser29] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, His17, Arg18, Ser21, Ser22, Asp31, Asp35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu1, Glu14, His17, Arg18, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, Glu14, Arg17] -pramlintide,
N-ε21- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Arg1, Glu14, His17, Arg18, Lys21] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, Arg18] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Gly3, Glu14, His17, Arg18, Ser21, Ser22, Glu31, Glu35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His- [His1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, Glu14, His17, Ala25, Pro26, Ser28, Ser29] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, Glu14] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, Glu14, His17, Arg35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, Arg3, Glu14, His17] -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[His1, Glu14, His17, Arg18, Ala19, Thr20, Gln21, Glu22, Leu23] -pramlintide
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu1, Gly3, Glu14, Arg18, Ser21, Ser22, Ala25, Pro26, Ser28, Ser29, Glu31, Arg35] -Pramlintide
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu- [Arg1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu- [Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[des1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu1, Glu14, His17, Arg18] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, His3, Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, His3, Glu14, His17, His29, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, Glu14, His17, His29, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, His3, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, Glu14, His17, His29] -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl] -D-Arg-D-Arg- [Glu14, His17, Arg18] -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl] -D-Arg-D-Arg- [Glu14, His17, Arg18, Ala21, Ser35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Ser-Ser-Gly-Ser-Ser- [Gly1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu- [His1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Glu- [Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl] -Glu- [Glu14, His17] -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[des1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Ser-Ser-Gly-Ser-Ser-Gly- [His1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl] -His-His- [His1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl]-[Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl] -His- [His1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl]-[His1, Glu14, His17] -pramlintide,
N-α-{(S) -4-carboxy-4-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyrylamino] butyryl}-[des1, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg17] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl]-[Glu14, Arg17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu10, Glu14, His17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu- [Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu- [Glu14, Arg17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl]-[Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl] -Glu- [Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl]-[Glu14, Arg17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl] -Glu- [Glu14, Arg17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [His1, Glu14, His17, Ser21, Glu35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Ala25, Pro26, Ser28, Ser29, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg17, Ala25, Pro26, Ser28, Ser29, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His- [Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His- [Glu14, Arg17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -His-His- [Glu14, Arg17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl] -His- [Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl] -His- [Glu14, Arg17, His35] -pramlintide,
N-ε25- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, Ser21, Lys25] -pramlintide,
N-ε25- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, His17, Lys25] -pramlintide,
N-ε21- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, His17, Lys21, Glu35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[des1, Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, His17, Arg18, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Arg18, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Arg18] -pramlintide,
N-ε17- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, Lys17] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Gly- [Glu14, His17, His35] -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu1, Glu14, His17, Pro37] -pramlintide,
N-ε17- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, Lys17, Ser21, Glu35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, His17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Ser- [Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Pro37] -pramlintide,
N-ε1-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Gly1, Glu14, Arg17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Gly- [His1, Glu14, Arg17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, Arg17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Gly1, Glu14, His17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Gly- [His1, Glu14, His17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His35] -pramlintide,
N-ε1-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyryl]-[Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Arg1, Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Arg1, Glu14, His17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Arg1, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Arg1, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Gly- [Arg1, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Gly- [Arg1, Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Gly- [Arg1, Glu14, His17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Gly- [Arg1, Glu14, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Gly- [Arg1, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[des1, Glu14, His17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Gly1, Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Ser1, Glu14, His17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Ser1, Glu14, His17, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[des1, Glu14, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, Ser21, Ser28, Ser29, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, Arg17, Ser21, Ser28, Ser29, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Arg35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Lys35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, His36] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, His34] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, His32] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Gln21, His35) -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, His17, Ser21, His35] -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[His1, Glu14, His17, Ser21, His35] -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl] -D-Arg-D-Arg- [Orn1, Glu14, His17, Arg18] -pramlintide,
N-α- (19-carboxynonadecanoyl) -Glu-Glu-Arg- [Glu1, Pro37] -pramlintide
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Arg- [Glu1, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Arg- [Glu1, Glu14, His17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Arg- [Glu1, Glu14, Arg17, Pro37] -pramlintide,
N-α- (19-carboxynonadecanoyl) -Glu-Glu-Arg- [Glu1, Glu14, His17, Pro37] -pramlintide,
N-ε25- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (17-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, Lys25] -pramlintide,
N-ε21- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, Lys21, Ser29, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Asp21, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu- [Glu14, His17, Gln21, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Gln21, Pro37] -pramlintide,
N-ε21- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, Lys21, Ser28, Ser29, His35] -pramlintide,
N-ε21- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, Lys21, His35] -pramlintide,
N-ε25- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, His17, Ser21, Lys25, Ser28, Ser29.His35] -pramlintide,
N-ε25- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[His17, His21, Lys25, Ser28, Ser29.His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Gln35, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Gln21, Gln35, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Gly1, Glu14, His17, Gln21, Gln35, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu1, Glu14, Gln21, Gln35, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Gln21, Gln35, Pro37] -pramlintide,
N-ε25- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[His17, Lys25, Ser28, Ser29, His35] -pramlintide,
N-ε21- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[His17, Lys21, Ser28, His35] -pramlintide,
N-ε25- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, His17, Lys25, Ser28, Ser29, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[His1, Glu14, Arg18, Pro37] -pramlintide,
N-ε21- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, His17, Lys21, Ser28, His35] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Lys11, Glu14, His17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Thr21, Pro37] -pramlintide,
N-ε21- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, Lys21, Ser28, Arg29, His35] -pramlintide,
N-ε21- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, His17, Lys21, Ser28, Ser29, His35] -pramlintide,
N-ε1-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Arg- [Glu14, Arg17, His35, Pro37] -pramlintide,
N-ε21- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, Arg18, Lys21, Ser28, Arg29, Arg35] -pramlintide,
N-ε1-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, His17, Gln21, Ala25, Pro26, Ser28, Ser29, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Arg14, Arg17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Gly- [Arg1, Glu14, Arg17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Arg17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Glu- [Arg1, Glu14, Arg17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu- [Arg1, Glu14, Arg17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Glu- [Arg1, Glu14, Arg17, Gln21, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Glu- [Arg1, Glu14, Arg17, Gln21, Gln35, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Glu- [Arg1, Glu14, Arg17, Gln21, Gln31, Gln35, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Glu- [Arg1, Glu14, Arg17, Gln21, Gln22, Gln31, Gln35, Pro37] -pramlintide ,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Arg- [Glu1, Glu14, Arg17, Gln21, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Arg- [Glu1, Glu14, Arg17, Gln21, Gln35, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Arg- [Glu1, Glu14, Arg17, Gln21, Gln31, Gln35, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Arg- [Glu1, Glu14, Arg17, Gln21, Gln22, Gln31, Gln35, Pro37] -pramlintide ,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl] -Glu-Glu- [Glu1, Glu14, Arg17, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg18, Gln21, Ala25, Pro26, Ser28, Ser29, Pro37] -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, His17, Glu21, Pro37] -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, His17, Lys21, Pro37] -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino ] Ethoxy} ethoxy) acetyl]-[Glu14, His17, Ala21, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg18, Ser21, Ser22, Ser28, Ser29, Asp31, Asp35, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Ser21, Ser22, Pro23, Ala25, Pro26, Ser28, Ser29, Asp31, Asp35, Pro37] -Pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg17, Asp21, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg17, Asp35, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg17, Asp31, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg17, Asp22, Pro37] -pramlintide,
N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Asp3, Glu14, Arg17, Pro37] -pramlintide,
N-ε1-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg17, Pro37] -pramlintide,
N-α- [2- (2- {2- [2- (2- {2-[(S) -4-carboxy-4- (19-carboxyheptadecanoylamino) butyrylamino] ethoxy} ethoxy) acetylamino The derivative according to paragraph 1, selected from the group consisting of [ethoxy] ethoxy) acetyl]-[Glu14, Ala21, His35, Pro37] -pramlintide.
11. A pharmaceutical composition comprising the derivative according to any one of paragraphs 1 to 10 and a pharmaceutically acceptable additive.
12. A derivative according to any one of paragraphs 1 to 10 for use as a medicament.
13. Paragraph 1 for use as a medicament to treat obesity, reduce food intake, reduce beta cell apoptosis, increase beta cell function and beta cell mass, and / or restore beta cell glucose sensitivity The derivative according to any one of ˜10.
14. Use of a derivative according to any one of paragraphs 1 to 10 for the preparation of a medicament.
15. A method for preparing a pharmaceutical composition comprising mixing the derivative according to any one of paragraphs 1 to 10 with at least one pharmaceutically acceptable additive.

  The invention will now be described by way of example only.

(Example)
The prepared polypeptides are shown in Table 10.

  The in vitro potency of the polypeptide against rat and human amylin and calcitonin receptors (as described in assay (II)) is shown in Table 11.

  Polypeptide solubility was tested as described in Assay (IV) and the results are shown in Table 12.

  The amylin derivatives were tested for physical stability by ThT test (assay (III)) and the data are shown in Table 13.

  The amylin derivative was tested for its effect by a food intake test (assay (I)), and the results are shown in Table 14.

  The half-life of the amylin derivatives of the present invention was tested in minipigs as described in assay (IX) and the data is shown in Table 15.

Abbreviations Some of the abbreviations used in the examples are as follows.
Acm: Acetamidomethyl
HATU: (O- (7-azabenzotriazol-1-yl) -1,1,3,3-tetramethyluronium hexafluorophosphate)
HBTU: 2- (1H-benzotriazol-1-yl-)-1,1,3,3 tetramethyluronium hexafluorophosphate
Fmoc: 9H-Fluoren-9-ylmethoxycarbonyl
Boc: tert-butyloxycarbonyl
Mtt: 4-methyltrityl
DCM: dichloromethane
TIPS: Triisopropylsilane
TFA: trifluoroacetic acid
NMP: 1-methyl-pyrrolidin-2-one
HOAt: 1-hydroxy-7-azabenzotriazole
DIC: Diisopropylcarbodiimide
Trt: Triphenylmethyl

Test In the following example, reference is made to the following test.
Assay (I)-Experimental protocol assay for appetite efficacy test using rat model fed constantly (II) a-Function assay-Human calcitonin and amylin receptor assay assay (II) b-Function assay-Rat calcitonin And rat amylin receptor assay (III)-ThT fibril formation assay to assess the physical stability of protein preparations (IV)-solubility assay (V)-assay for binding to human amylin receptor (VI) -Measurement assay for binding to rat amylin receptor (VII) -Measurement assay for binding to human calcitonin receptor (VIII) -Measurement assay for binding to rat calcitonin receptor (IX) -pK-in minipigs T1 / 2 measurement test (X) -pK-Measure T1 / 2 in rats

Test (I)-Experimental protocol for efficacy test on appetite using rat model fed ad libitum Sprague Dawley (SD) rats from Taconic Europe, Denmark are used for the experiment. Rats weigh 200-250 g at the start of the experiment. Rats arrive at least 10-14 days prior to the start of the experiment in order to acclimate to the experimental environment. During this period, animals are handled by hand at least twice. Upon arrival, rats are housed individually for 2 weeks in reverse light / dark state for 1 week (meaning that they are turned off during the day and turned on at night). Rats are usually active at night and eat most of their daily food intake, so they are dosed just before the morning lights are turned off. This setting results in the lowest data variability and the highest test sensitivity. Experiments are performed in rat home cages, and rats are free to access food and water throughout the acclimatization and experiment periods. Each dose of the derivative is tested in a group consisting of 5-8 rats. A media group of 6-8 rats is included in each set of studies. Rats are dosed once with a 0.01-3 mg / kg solution administered intraperitoneally (ip), orally (po), or subcutaneously (sc), depending on body weight. Record the time of dosing for each group. After dosing, the rat is returned to its home cage where it can gain access to food and water. Food consumption is continuously recorded individually, online registration or manually, every hour for 7 hours, then 24 hours and sometimes 48 hours later. At the end of the experimental period, animals are euthanized.

  Individual data is recorded in a Microsoft Excel sheet. After applying the Grabbs statistical outlier test, outliers are excluded and the results are graphed using the GraphPad Prism program.

Assay (II)-Functional assay assay (II) a-Human calcitonin and amylin receptor assay
1. Outline of luciferase assay Activation of calcitonin and amylin receptors (simultaneous expression of calcitonin receptor and receptor activity regulatory protein (RAMP)) increases the intracellular concentration of cAMP. As a result, transcription is activated by a promoter that contains multiple copies of the cAMP response element (CRE). Thus, amylin activity can be measured by use of a CRE luciferase reporter gene introduced into BHK cells that also express calcitonin or amylin receptors.

2. Construction of calcitonin (a) and amylin 3 (a) receptor / CRE-luc cell lines
The BHK570 cell line was stably transfected with the human calcitonin receptor and CRE-responsive luciferase reporter gene. Cell lines were further transfected with RAMP-3 using standard methods. This converts the calcitonin receptor to the amylin 3 (a) receptor. Methotrexate, neomycin, and hygromycin are selectable markers for luciferase, calcitonin receptor, and RAMP-3, respectively.

3. Luciferase assay To perform the activity assay, BHK calcitonin (a) receptor or amylin 3 (a) receptor / CRE-luc cells were seeded in a 96-well white culture plate at a density of about 20,000 cells / well. . Cells are in 100 μl growth medium (DMEM containing 10% FBS, 1% Pen / Strep, 1 mM Na pyruvate, 250 nM methotrexate, 500 μg / ml neomycin, and 400 μg / ml hygromycin). Has entered. After overnight incubation at 37 ° C., 5% CO ₂ , the growth medium was added to 50 μl / well assay medium (DMEM (no phenol red), Glutamax ™, 10% FBS, and 10 mM Hepes, pH 7.4). Was replaced. In addition, 50 μl / well of assay buffer containing standards or samples was added. After incubation for 3 hours at 37 ° C., 5% CO ₂ , the assay medium supplemented with standards or samples was removed and replaced with 100 μl / well PBS. In addition, 100 μl / well LucLite ™ was added. The plate was sealed and incubated for 30 minutes at room temperature. Finally, luminescence was measured in SPC (single photon counting) mode on a TopCounter (Packard).

Assay (II) b-rat calcitonin and rat amylin receptor assay
Overview of cAMP assay Activation of calcitonin and amylin receptors (simultaneous expression of calcitonin receptor and receptor activity regulatory protein (RAMP)) increases the intracellular concentration of cAMP. To quantify cAMP levels in transiently transfected cells, the Perkin Elmer Adenylyl Cyclase Activation FlashPlate® assay was used. The basic principle of the FlashPlate® assay is competition for a fixed number of binding sites between radioactive and non-radioactive cAMP produced by cells.

Construction of rat calcitonin (a) and rat amylin 3 (a) receptor cells
Using FuGENE® 6 (Roche) according to the manufacturer's recommendations, BHK tk'ts 13 cells were treated with rat calcitonin (a) receptor or amylin 3 (a) receptor (rat calcitonin (a) receptor. + Any of rat RAMP3) was transiently transfected.

cAMP assay 24 hours after transient transfection, cells (rat calcitonin (a) or rat amylin 3 (a) receptor cells), along with IBMX-added FlashPlate stimulation buffer containing samples or standards, In addition to 96 well FlashPlates® (100,000 cells / well), incubated for 30 minutes. A detection mix was made according to the manufacturer's protocol, incubated for 3 hours, and then scintillated with a TopCounter ™ (Packard).

Assay (III)-ThT fibril formation assay to assess the physical stability of protein preparations Amyloid observed as an ordered thread-like macromolecular structure in a sample when the physical stability of the polypeptide is low Gels may eventually form as a result of fibril formation. This is traditionally measured by visual inspection of the sample. However, this type of measurement is very subjective and depends on the observer. Therefore, the application of small molecule indicator probes is much more advantageous. Thioflavin T (ThT) is such a probe and has a distinct fluorescent signature when bound to fibrils [Naiki et al. (1989) Anal. Biochem. 177, 244-249; LeVine (1999) Methods. Enzymol. 09, 274-284].

  The time course of fibril formation can be explained by the sigmoid curve of the following formula [Nielsen et al. (2001) Biochemistry 40, 6036-6046].

Here, F is ThT fluorescence at time t. The constant t ₀ is the time required to reach 50% of maximum fluorescence. Two important parameters that explain fibril formation are the delay time calculated by t ₀ -2τ and the apparent rate constant k _app = 1 / τ.

  The formation of a partially folded polypeptide intermediate has been suggested to be a general triggering mechanism of fibril formation. Only a few of these intermediates form nuclei and become templates from which additional intermediates can gather, and fibril formation proceeds. The delay time corresponds to the interval at which the critical mass of the nucleus is established, and the apparent rate constant is the rate at which the fibrils themselves are formed.

Sample preparation Samples were freshly prepared before each assay. Each sample composition is described in each example. The pH of the sample was adjusted to the desired value using an appropriate amount of concentrated NaOH and HClO ₄ or HCl. Thioflavin T was added to samples from the stock H ₂ O solution to a final concentration of 1 μM.

  A 200 μl sample aliquot was placed in a 96-well microtiter plate (Packard OptiPlate ™ -96, white polystyrene). Usually, 4 or 8 replicas of each sample (corresponding to one test condition) were placed in a row of wells. Plates were sealed with Scotch Pad (Qiagen).

Incubation and fluorescence measurements Incubation at a given temperature, shaking, and measurement of ThT fluorescence were performed on a Fluoroskan Ascent FL fluorescence plate reader or Varioskan plate reader (Thermo Labsystems). The temperature was adjusted to 37 ° C. In all data shown, the orbital shaking was adjusted to 960 rpm with an amplitude of 1 mm. Fluorescence measurements were made using excitation through a 444 nm filter and emission measurement through a 485 nm filter.

  Each flow was initiated by incubating the plate at the assay temperature for 10 minutes. Plates were measured every 20 minutes for the desired period. Between each measurement, the plate was shaken and heated as described.

Data Handling Measurement points were saved in Microsoft Excel format for further processing, and curves were drawn and fitted using GraphPad Prism. Background luminescence from ThT in the absence of fibrils can be ignored. Data points are usually the average of 4 or 8 samples and are shown with a standard deviation error bar. Only data obtained in the same experiment (ie, samples on the same plate) were shown in the same graph to ensure relative fibril formation measurements between experiments.

  The data set can be fitted to equation (1). However, the complete sigmoid curve in this case is not always realized during the measurement time, so the degree of fibril formation is shown as ThT fluorescence tabulated as the mean of the sample, and at several time points With standard deviation.

Measurement of Initial and Final Concentrations The polypeptide concentration of each tested formulation was measured both before application in the ThT fibril formation assay (“initial”) and after completion of ThT fibril formation (“after ThT assay”). Concentrations were determined by a reverse HPLC method using pramlintide standard as a reference. Prior to measurement after completion, 150 μl was collected from each of the replicas and transferred to an Eppendorf tube. These were centrifuged at 30000G for 40 minutes. The supernatant was filtered through a 0.22 μm filter and then applied to the HPLC system.

Assay (IV)-Measurement of Solubility Polypeptides are dissolved in water at approximately 500 nmol / ml and a series of buffers (100 mM glycylglycine pH 3.0, 100 mM glycylglycine pH 4.0, 100 mM glycylglycine pH 5.0, 100 mM bistrispropane pH 6.0, 100 mM bistrispropane pH6.5, 100 mM bistrispropane pH7.0, 100 mM bistrispropane pH7.5, 100 mM bistrispropane pH8.0) were mixed 1: 1. After 18 hours at room temperature, the sample was centrifuged and the polypeptide concentration was determined by UPLC.

Assay (V)-Measurement of binding to human amylin receptor. The cell membrane from) was used. The membrane was prepared as follows. Cells were rinsed with PBS and harvested after approximately 5 minutes incubation with Versene. The cells were flushed with PBS and the cell suspension was centrifuged at 1000 rpm for 5 minutes. The cells were homogenized (ultrathurrax) in a buffer containing 20 mM Na-HEPES and 10 mM EDTA (pH 7.4) and centrifuged at 20,000 rpm for 15 minutes. The resulting pellet was resuspended in buffer (pH 7.4, buffer 2) containing 20 mM Na-HEPES and 0.1 mM EDTA, homogenized and centrifuged (20,000 rpm, 15 minutes). The resulting pellet was resuspended in buffer 2 and the protein concentration was measured (BCA protein Assay, Pierce). The homogenate was kept cold during the entire procedure. The membrane was kept at -80 ° C until use. The assay was performed in a 384 well OptiPlate (PerkinElmer) with a total volume of 40ul. The membrane was mixed with SPA beads. The final concentration of membrane was 35 ng / μL and SPA beads were 0.05 mg / well. Test compounds were dissolved in DMSO and further diluted in assay buffer (50 mM Hepes, pH 7.4, 1 mM CaCl2, 5 mM MgCl2, 0.1% OA, and 0.02% Tween20). Radioligand ¹²⁵ I-rat amylin (NEX448 PerkinElmer) was dissolved in assay buffer and added to OptiPlate at a final concentration of 50 pM / well (approximately 20,000 cpm / 10 ul). The final mixture was incubated at 25 ° C. for 120 minutes with shaking at 400 rpm and then centrifuged (1500 rpm, 10 minutes). Samples were analyzed on a TopCounter ™ (Packard). Use GraphPad Prism 5, IC ₅₀ was calculated as a measure of receptor affinity (one-site binding competition assay).

Assay (VI)-Measurement of binding to rat amylin receptor This assay was prepared from BHK tk'ts 13 cells transiently transfected with rat calcitonin receptor rat RAMP3 at an equimolar ratio (1: 2). The assay was performed as described above (Assay (V) -Measurement of binding to human amylin receptor) except that a membrane was used. BHK tk'ts 13 cells were transiently transfected with rat calcitonin receptor using FuGENE® 6 (Roche) according to the manufacturer's recommendations. Cells were grown in DMEM with 10% FBS and 1% Pen / Strep. Approximately 48 hours after transfection, cells were harvested and membranes were prepared.

Assay (VII)-Measuring Binding to Human Calcitonin Receptor The binding assay is a transient transfection of PerkinElmer's scintillation proximity assay (SPA) beads (RPNQ0001) and human calcitonin receptor and CRE-reactive luciferase reporter gene. The BHK tk'ts 13 cell line was used. The membrane was prepared as follows. Cells were rinsed with PBS and harvested after approximately 5 minutes incubation with Versene. The cells were flushed with PBS and the cell suspension was centrifuged at 1000 rpm for 5 minutes. The cells were homogenized (Ultrathurrax) in a buffer containing 20 mM Na-HEPES and 10 mM EDTA (pH 7.4) and centrifuged at 20,000 rpm for 15 minutes. The resulting pellet was resuspended in buffer (pH 7.4, buffer 2) containing 20 mM Na-HEPES and 0.1 mM EDTA, homogenized and centrifuged (20,000 rpm, 15 minutes). The resulting pellet was resuspended in buffer 2 and the protein concentration was measured (BCA protein Assay, Pierce). The homogenate was kept cold during the entire procedure. The membrane was kept at -80 ° C until use. The assay was performed in a 384 well OptiPlate (PerkinElmer) with a total volume of 40ul. The membrane was mixed with SPA beads. The final concentration of the membrane was 35 ng / μL and the final concentration of SPA beads was 0.05 mg / well. Test compounds were dissolved in DMSO and further diluted in assay buffer (50 mM Hepes, pH 7.4, 1 mM CaCl2, 5 mM MgCl2, 0.1% OA, and 0.02% Tween20). Radioligand ¹²⁵ I-calcitonin (NEX422 PerkinElmer) was dissolved in assay buffer and added to the Optiplate at a final concentration of 75 pM / well (approximately 30,000 cpm / 10 ul). The final mixture was incubated at 25 ° C. for 120 minutes with shaking at 400 rpm and then centrifuged (1500 rpm, 10 minutes). Samples were analyzed on a TopCounter ™ (Packard). Use GraphPad Prism 5, IC ₅₀ was calculated as a measure of receptor affinity (one-site binding competition assay).

Assay (VIII)-Measurement of binding to rat calcitonin receptor This assay was performed as described above (assay with the exception of using membranes prepared from BHK tk'ts 13 cells transiently transfected with rat calcitonin receptor. (VII) —Measurement of binding to human calcitonin receptor). BHK tk'ts 13 cells were transiently transfected with rat calcitonin receptor using FuGENE® 6 (Roche) according to the manufacturer's recommendations. Cells were grown in DMEM with 10% FBS and 1% Pen / Strep. Approximately 48 hours after transfection, cells were harvested and membranes were prepared.

Assay (IX) -pK-measurement of T1 / 2 in minipigs
T1 / 2 is the terminal phase half-life = ln2 / λ _z of the compound in plasma. λ _z is the first-order rate constant associated with the terminal (log-linear) portion of the plasma concentration-time curve and is predicted by linear regression of time-log concentration.

  The T1 / 2 values of the amylin analogs of the present invention are determined by pharmacokinetic studies in male Gottingen minipigs of Ellegaard Gottingen Minipigs ApS and follow the principles of laboratory animal protection.

  An acclimation period of approximately 6-10 days was allowed before animals were added to the study. At the start of the acclimatization period, the minipigs were about 5-12 months old and were in the 7-35 kg body weight range. The minipig was inserted with two central venous catheters that were used for blood collection.

  The study was conducted in an animal room that was illuminated to provide a light-dark cycle of approximately 12 hours. Animals were housed individually.

  Animals were allowed free access to home-quality drinking water during the study but were usually fasted from the night before dosing until about 6-12 hours after dosing. Animals were weighed on arrival and on the day of dosing.

  In this study, the test substance was administered subcutaneously at a dose of approximately 2 nmol / kg. The animals received a single subcutaneous injection. Subcutaneous injections were made on the right side of the neck approximately 5-7 cm from the ear and 7-9 cm from the center of the neck. Injections were made with a stopper on the needle so that approximately 0.5 cm of the needle was introduced. Each test substance was usually given to 3 animals, sometimes 2 or 4 animals.

A total plasma concentration-time profile using 12-16 blood collection points was obtained from each animal. In the example, after subcutaneous administration, blood samples were collected according to the following schedule.
Before dosing (0), 0.5, 1, 2, 4, 6, 8, 12, 24, 48, 72, 96, 120, 168, and 240 hours after injection.

  In some cases, additional blood samples were also collected up to 288 hours after injection.

  At the time of each sample collection, 0.5-2 ml of blood was collected from each animal. Blood samples were taken from a central venous catheter.

  Blood samples were collected in EDTA tubes (ie Sarstedt Micro tube 1.3 mL K3E). Blood samples were kept on ice for up to 20 minutes prior to centrifugation. Plasma was separated using centrifugation (ie, 4 ° C., 10 minutes, 1500 G) and immediately transferred to a Micronic tube. Approximately 200 μl of plasma was transferred to each Micronic tube. Plasma was stored at -20 ° C until assayed. Plasma samples were assayed for amylin content using an ELISA assay.

Plasma concentration-time profiles were analyzed by non-compartmental pharmacokinetic analysis (NCA) using WinNonlin Professional 5.0 (Pharsight Inc., Mountain View, CA). NCA was performed using individual plasma concentration-time profiles from each animal. T1 / 2 was determined from the first-order rate constant λ _z associated with the terminal (log-linear) portion of the curve, predicted by linear regression of time-log concentration, with terminal half-life = ln2 / λ _z .

ELISA plasma assay for amylin quantification The human amylin ELISA is a sandwich immunoassay based on monoclonal antibodies to determine amylin levels in human plasma. The capture antibody recognizes human amylin, amylic acid (deamidated amylin), which is a 1-20 fragment of amylin, but does not recognize reduced amylin. The detection antibody binds to reduced or non-reduced human amylin, but not to amylic acid and forms a complex with streptavidin-alkaline phosphatase. The substrate 4-methylumbelliferyl phosphate is applied to the finished sandwich, and the fluorescence signal monitored at 355 nm / 460 nm is proportional to the amount of amylin present in the sample.

MS method for quantification of amylin
Dilute 40 μl of plasma with 120 μl of 66.67% EtOH + 1% HCOOH and mix. Centrifuge at 13000 rpm for 20 minutes at 4 ° C. The supernatant is analyzed by LC-MS method in Sciex API 3000 and quantified using the standard substance prepared in plasma.

Assay (X) -pK-Measure T1 / 2 in rats
T1 / 2 is the terminal phase half-life = ln2 / λ _z of the compound in plasma. λ _z is the first-order rate constant associated with the terminal (log-linear) portion of the plasma concentration-time curve and is predicted by linear regression of time-log concentration.

  The T1 / 2 values of the amylin analogs of the invention are determined by pharmacokinetic studies in Taconic Europe male Sprague Dawley rats and follow the principles of laboratory animal protection.

  An acclimation period of approximately 7 days was allowed before animals were added to the study. At the start of the acclimatization period, the rats were in the 300-400 g body weight range. Rats had a permanent catheter inserted into the carotid artery and used for blood collection.

  The study was conducted in an animal room that was illuminated to provide a light-dark cycle of approximately 12 hours. Animals were housed individually due to the presence of catheters and had free access to food and water. Animals were weighed on the day of dosing.

  In this study, the test substance was administered subcutaneously at a dose of approximately 20 nmol / kg. The animals received a single subcutaneous injection in the neck using a 25G needle with a syringe. Each test substance was usually given to 3 animals, sometimes 2 or 4 animals.

Total plasma concentration-time profiles using 8-10 blood collection points were obtained from each animal. In the example, after subcutaneous administration, blood samples were collected according to the following schedule.
Before administration (0), 0.5, 1, 1.5, 2, 4, 6, 12, 24, 48, and 72 hours after injection.

  At the time of each sample collection, 0.08-0.10 ml of blood was collected from each animal. Blood samples were taken from the catheter.

  Blood samples were collected in EDTA tubes. Blood samples were kept on ice for up to 20 minutes prior to centrifugation. Plasma was separated using centrifugation (ie, 4 ° C., 10 minutes, 1500 G) and immediately transferred to Micronic tubes or PCR plates. Approximately 40 μl of plasma was transferred and stored at −20 ° C. until assayed. Plasma samples were assayed for amylin content using an ELISA assay.

Plasma concentration-time profiles were analyzed by non-compartmental pharmacokinetic analysis (NCA) using WinNonlin Professional 5.0 (Pharsight Inc., Mountain View, CA). NCA was performed using individual plasma concentration-time profiles from each animal. T1 / 2 was determined from the first-order rate constant λ _z associated with the terminal (log-linear) portion of the curve, predicted by linear regression of time-log concentration, with terminal half-life = ln2 / λ _z .

Preparation Polypeptide sequences were prepared according to the polypeptide synthesis described below, and the compounds shown in the tables (eg, Table 10) were prepared according to the synthesis described below.

  One method of polypeptide synthesis was by Fmoc chemistry on a Liberty polypeptide synthesizer (CEM Corp., North Carolina), mainly microwaves. The resin was Tentagel S RAM with a use amount of about 0.25 mmol / g or a PAL-ChemMatrix with a use amount of about 0.43 mmol / g. The coupling chemistry was DIC / HOAt in NMP using a 0.3 M amino acid NMP solution and a 6-8 fold molar excess. The binding conditions were 5 minutes up to 70 ° C. Deprotection was up to 70 ° C. with 5% pyridine in NMP. The protected amino acids used were standard Fmoc-amino acids (eg supplied from Anaspec or Novabiochem) dissolved at 0.3 M in NMP containing 0.3 M HOAt.

  Another method of polypeptide synthesis was by Fmoc chemistry on a Prelude polypeptide synthesizer (Protein Technologies, Arizona). The resin was Tentagel S RAM with a use amount of about 0.25 mmol / g or a PAL-ChemMatrix with a use amount of about 0.43 mmol / g. The coupling chemistry was DIC / HOAt in NMP using a 0.3 M amino acid NMP solution and a 6-8 fold molar excess. Binding conditions were single or double binding over 1 or 2 hours at room temperature. Deprotection was with 20% piperidine in NMP. The protected amino acids used were standard Fmoc-amino acids (eg supplied from Anaspec or Novabiochem) dissolved at 0.3 M in NMP containing 0.3 M HOAt.

  Another method of polypeptide synthesis is 0.25 using the Fastmoc UV protocol supplied by the manufacturer, using UV monitoring of conjugation via HBTU or HATU in NMP and deprotection of the Fmoc protecting group. by Applied Biosystems 433 polypeptide synthesizer on a mmol or 1.0 mmol scale. The starting resin used for the synthesis of the polypeptide amide was Rink-Amide resin. The protected amino acid derivative used was a standard Fmoc-amino acid (eg, supplied from Anaspec or Novabiochem) supplied in a pre-weighed cartridge suitable for the ABI433A synthesizer.

  When chemical modification of the lysine side chain is desired, if the lysine is incorporated as Lys (Mtt) and the N-terminal amino acid is incorporated into the sequence as a Boc-amino acid, or the N-terminal amino acid is incorporated as an Fmoc-amino acid, the Fmoc group is The N-terminus was protected by treatment with 6 equivalents of Boc-carbonate and 6 equivalents of DIPEA in NMP for 30 minutes. The resin was washed with NMP and DCM, and the Mtt group was removed by suspending the resin in undiluted hexafluoroisopropanol for 20 minutes followed by washing with DCM and NMP. Chemical modification of lysine can be performed by the same method used for polypeptide synthesis, i.e. by one or more automated steps in Liberty or ABI 433, or by manual coupling at room temperature Depending on the step, one or more of the structural units listed below were added. After synthesis, the resin is washed with DCM, dried, and cleaved from the resin by treatment with TFA / TIPS / water (92.5 / 5 / 2.5 or 95 / 2.5 / 2.5) for 2 hours, followed by 4 volumes. Of diethyl ether, further washed with diethyl ether and dried. If the polypeptide contained a cysteine protected with an Acm group, the polypeptide was redissolved in water at 2-5 mg / ml, the pH was adjusted to less than 4, and 4 equivalents of iodine (2% w / w in methanol). / v) for 15 minutes produced disulfide bridges. Alternatively, disulfide bridges were generated on the resin using Trt as a protecting group for cysteine and treatment with 10 equivalents of iodine-containing NMP for 1 hour. In this case, the crude polypeptide was purified directly after cleavage and diethyl ether precipitation.

Purification: The crude polypeptide was purified by semi-preparative HPLC on a 20 mm × 250 mm column packed with either 5μ or 7μ C-18 silica. The polypeptide solution is pumped onto the HPLC column, the precipitated polypeptide is dissolved in 5 ml of 50% acetic acid H ₂ O, diluted to 20 ml with H ₂ O, injected onto the column, which is then added to 40-60 Elute at 10 ml / min with a gradient of% CH ₃ CN0.1% TFA solution at 40 ° C. for 50 min. Polypeptide-containing fractions were collected. The purified polypeptide was lyophilized after the eluate was diluted with water.

To analyze HPLC-fractions and final products, UV detection at 214 nm and RP-HPLC analysis using, for example, a Vydac 218TP54 4.6 mm x 250 mm 5 μC-18 silica column (The Separations Group, Hesperia, USA) For example, eluted at 42 ° C. at 1 ml / min. In most cases, one of four different elution conditions was used.
A1: conc H ₂ SO ₄ with 0.1M adjusted to pH2.5 (NH _{4) 2} equilibration of column with buffer consisting of SO _4, and of CH ₃ CN in the same buffer 0% to 60% Elution with a gradient of 50 minutes.
B1: Equilibration of the column with 0.1% TFA / H ₂ O, and 0% CH ₃ CN / 0.1% TFA / H ₂ O~60% of CH ₃ CN / 0.1% TFA / H ₂ O Elution with a gradient of 50 minutes.
B6: Equilibration of the column with 0.1% TFA / H ₂ O, and 0% CH ₃ CN / 0.1% TFA / H ₂ O~90% of CH ₃ CN / 0.1% TFA / H ₂ O Elution with a gradient of 50 minutes.

Alternatively, RP-HPLC analysis was performed using UV detection at 214 nm and Symmetry 300, 3.6 mm × 150 mm, 3.5 μC-18 silica column (Waters), eluting at 42 ° C. at 1 ml / min.
B4: Equilibration of the column with 0.05% TFA / H ₂ O, and 5% CH ₃ CN / 0.05% TFA / H ₂ O~95% of CH ₃ CN / 0.05% TFA / H ₂ O Elution with a gradient of 15 min.

  Polypeptide identity was confirmed by MALDI-MS on a Bruker Microflex.

  The prepared polypeptides are shown in Table 10 (shown above).

Observations All references cited herein, including publications, patent applications, and patents, are hereby incorporated by reference in their entirety (to the maximum extent permitted by law). Individually and in detail, and incorporated herein by reference as if set forth in its entirety herein.

  All headings and subheadings are used herein for convenience only and should not be construed as limiting the invention in any way.

  The use of any examples or exemplary words (e.g., "etc.") as set forth herein is merely a more thorough explanation of the present invention and, unless stated otherwise, is the scope of the present invention. There are no restrictions. No language in the specification should be construed as indicating any non-claimed element as essential to the practice of the invention.

  Citation and incorporation of patent documents herein is done for convenience only and does not reflect any view of the validity, patentability, and / or enforceability of such patent documents.

  This invention includes all modifications and equivalents of the subject matter recited in the claims appended hereto as permitted by applicable law.

Claims (15)

Comprising an amino acid sequence that is an analog of SEQ ID NO: 2, said analog comprising a proline residue at position 37;
The numbering of the amino acid sequence of the analog corresponds to the amino acid numbering sequence of SEQ ID NO: 2,
A polypeptide optionally having at least one substituent attached to at least one of its amino acid residues.   The polypeptide according to claim 1, wherein the analogue comprises a residue at position 14, which is individually selected from either glutamic acid or asparagine, preferably glutamic acid.   The analogues comprise residues at position 17, which are individually selected from any one of histidine, arginine, lysine and valine, preferably histidine and arginine, more preferably arginine. The polypeptide according to any one of the above.   The analog is individually from any one of histidine, arginine, lysine, aspartic acid, glutamic acid, asparagine, and glutamine, preferably histidine, asparagine, glutamine, and glutamic acid, more preferably histidine, glutamine, and asparagine. 4. The polypeptide according to any one of claims 1 to 3, comprising a residue at position 35 which is selected in the above and more preferably asparagine.   The polypeptide according to any one of claims 1 to 4, wherein the analog comprises an amino acid residue at position 14 that is glutamic acid, a residue at position 17 that is arginine, and a residue at position 37 that is proline. Formula (I):
Xaa ₁ -Cys-Xaa ₃ -Thr-Ala-Thr-Cys-Ala-Thr-Gln-Arg-Leu-Ala-Xaa ₁₄ -Phe-Leu-Xaa ₁₇ -Xaa ₁₈ -Ser-Ser-Xaa ₂₁ -Xaa ₂₂ -Phe-Gly-Pro-Xaa ₂₆ -Leu-Pro-Pro-Thr-Xaa ₃₁ -Val-Gly-Ser-Xaa ₃₅ -Thr-Pro,
Formula (I) (SEQ ID NO: 3)
The polypeptide of paragraph 1, comprising an amino acid sequence that is an analog of SEQ ID NO:
Xaa ₁ is deleted or individually selected from Ala, Cys, Glu, Gly, His, Arg, Ser, and Lys,
Xaa ₃ is individually selected from Gly, His, Arg, Ser, and Asn,
Xaa ₁₄ is individually selected from Glu and Asn,
Xaa ₁₇ is individually selected from His, Arg, Lys, and Val,
Xaa ₁₈ is individually selected from Arg, Lys, and His,
Xaa ₂₁ is individually selected from Ala, Lys, Gln, Ser, and Asn,
Xaa ₂₂ is individually selected from Glu, Gln, Ser, Thr, and Asn,
Xaa ₂₆ is individually selected from Pro, Arg, and Ile,
Xaa ₃₁ is individually selected from Ser, Glu, Asp, and Asn,
Xaa ₃₅ is individually selected from His, Arg, Lys, Asp, Gln, and Glu,
The C-terminus is optionally a derivatized polypeptide.   7. A polypeptide according to any of claims 1 to 6, wherein at least one substituent is bound to at least one amino acid residue of the polypeptide.   8. The polypeptide according to any one of claims 1 to 7, wherein the substituent is selected from any of the substituents shown in Table 1 (shown above).   9. The polypeptide according to claim 1, wherein the substituent is bound to the α-amino group or Lys residue of the N-terminal amino acid residue.   10. The polypeptide according to any one of claims 1 to 9, which is selected from the group consisting of any of the polypeptides shown in Table 9.   11. Any of claims 1 to 10, which is N-α-[(S) -4-carboxy-4- (19-carboxynonadecanoylamino) butyryl]-[Glu14, Arg17, Pro37] -pramlintide [Example 53]. A polypeptide according to claim 1.   12. A polypeptide according to any one of claims 1 to 11 for use as a medicament.   Hyperglycemia, type 2 diabetes, impaired glucose tolerance, type 1 diabetes, obesity, hypertension, syndrome X, dyslipidemia, cognitive impairment, atherosclerosis, myocardial infarction, coronary heart disease and other cardiovascular disorders, stroke, Β-cell function for use in the treatment or prevention of inflammatory bowel syndrome, dyspepsia, gastric ulcer, hypercalcemia, osteoporosis, and osteoarthritis and / or to reduce food intake, reduce β-cell apoptosis 13. A polypeptide according to any of claims 1 to 12, for use in increasing β-cell mass and / or restoring β-cell glucose sensitivity.   A pharmaceutical composition comprising the polypeptide according to any one of claims 1 to 13 and a pharmaceutically acceptable additive.   15. A method for preparing a pharmaceutical composition according to claim 14, comprising the step of mixing the polypeptide according to any of claims 1 to 13 with at least one pharmaceutically acceptable additive.

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